[Federal Register Volume 80, Number 201 (Monday, October 19, 2015)]
[Notices]
[Pages 63225-63226]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-26467]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: U.S. Repatriation Program Forms.
    OMB No.: 0970-NEW (two of the forms have prior OMB No: [SSA-3955 & 
SSA-2061]).
    Description: The United States (U.S.) Repatriation Program was 
established by Title XI, Section 1113 of the Social Security Act 
(Assistance for U.S. Citizens Returned from Foreign Countries) to 
provide temporary assistance to U.S. citizens and their dependents who 
have been identified by the Department of State (DOS) as having 
returned, or been brought from a foreign country to the U.S. because of 
destitution, illness, war, threat of war, or a similar crisis, and are 
without available resources immediately accessible to meet their needs. 
The Secretary of the Department of Health and Human Services (HHS) was 
provided with the authority to administer this Program. On or about 
1994, this authority was delegated by the HHS Secretary to the 
Administration for Children and Families (ACF) and later re-delegated 
by ACF to the Office of Refugee Resettlement. The Repatriation Program 
works with States, Federal agencies, and non-governmental organizations 
to provide eligible individuals with temporary assistance for up to 90-
days. This assistance is in the form of a loan and must be repaid to 
the Federal Government.
    The Program was later expanded in response to legislation enacted 
by Congress to address the particular needs of persons with mental 
illness (24 U.S.C. Sections 321 through 329). Further refinements 
occurred in response to Executive Order (EO) 11490 (as amended) where 
HHS was given the responsibility to ``develop plans and procedures for 
assistance at ports of entry to U.S. personnel evacuated from overseas 
areas, their onward movement to final destination, and follow-up 
assistance after arrival at final destination.'' In addition, under EO 
12656 (53 CFR 47491), ``Assignment of emergency preparedness 
responsibilities,'' HHS was given the lead responsibility to develop 
plans and procedures in order to provide assistance to U.S. citizens 
and others evacuated from overseas areas.
    In order to effectively and efficiently manage these legislative 
authorities, the Program has been divided into two major activities, 
Emergencies and Non-Emergencies Repatriation Activities. Operationally, 
these two Program activities involve different kinds of preparation, 
resources, and implementation. However, the core Program statute, 
regulations, policies and administrative procedures for these two 
Programs are essentially the same. The ongoing routine arrivals of 
individual repatriates and the repatriation of individuals with mental 
illness constitute the Program Non-emergency activities. Emergency 
Activities are characterized by contingency events such as civil 
unrest, war, threat of war or similar crisis, among other incidents. 
Depending on the type of event, number of evacuees and resources 
available, ACF will provide assistance utilizing two scalable 
mechanisms, emergency repatriations or group repatriations. Emergency 
repatriations assume the evacuation of 500 or more individuals, while 
group repatriations assume the evacuation of 50-500 individuals.
    The Program provides services through agreements with the States, 
U.S. Territories, Federal agencies, and Non-governmental agencies. The 
list of Repatriation Forms is as follows:
    1. The HHS Repatriation Program: Emergency and Group Processing 
Form: under 45 CFR 211 and 212, HHS is to make findings setting forth 
the pertinent facts and conclusions according to established standards 
to determine whether an individual is an eligible person. This form 
allows authorized staff to gather necessary information to determine 
eligibility and needed services. This form is to be utilized during 
emergency repatriation activities. Individuals interested in receiving 
Repatriation assistance will complete appropriate portions of this 
form. State personnel assisting with initial intake activities will use 
this form as a guide to perform a preliminary eligibility assessment. 
An authorized federal staff from the ACF will make final eligibility 
determinations.
    2. The HHS Repatriation Program: Privacy and Repayment Agreement 
Form: under 45 CFR 211 and 212, individuals who receive Program 
assistance are required to repay the federal government for the cost 
associated to the services received. This form authorizes HHS to 
release personal identifiable information to partners for the purpose 
of providing services to eligible repatriates. In addition, through 
this form, eligible repatriates agree to accept services under the 
terms and conditions of the Program. Specifically, eligible repatriates 
commit to repay the federal government for all temporary services 
received through the Program. This form is to be completed by eligible 
repatriates or authorized legal custodians. Exemption applies to 
unaccompanied minors and individuals eligible under 45 CFR 211, if no 
legal custodian is identified.
    3. The HHS Repatriation Program: Refusal of Temporary Assistance 
Form: for individuals who are eligible to receive repatriation 
assistance but opt to relinquish services, this form is utilized to 
confirm and record repatriate's decision to refuse receiving Program 
assistance. This form is to be completed by eligible repatriates or 
authorized legal custodian. Exemption applies to unaccompanied minors 
and individuals eligible under 45 CFR 211, if no legal custodian is 
identified.
    4. The HHS Repatriation Program: Emergency and Group Repatriation 
Financial Form: under Section 1113 of the Social Security Act, HHS is 
authorized to provide temporary assistance directly or through 
utilization of the services and facilities of appropriate public or 
private agencies and organizations, in accordance with agreements 
providing for payment, as may be determined by HHS. This form is to be 
utilized and completed by agencies that have entered into an agreement 
with ORR to request reimbursement of reasonable and allowable costs, 
both administrative and actual temporary services.
    5. The HHS Repatriation Program: Non-emergency Monthly Financial 
Statement Form: under Section 1113 of the Social Security Act, HHS is 
authorized to provide temporary assistance directly or through 
arrangements, in accordance with agreements providing for payment, as 
may be determined by HHS. This form is to be utilized and completed by 
the States and other authorized ORR agencies to request reimbursement 
of reasonable and allowable costs, both administrative and actual 
temporary services, associated to the direct provision of temporary 
assistance to eligible repatriates.
    6. The HHS Repatriation Program: Repatriation Loan Waiver and 
Deferral Request Form: in accordance with 45 CFR 211 & 212 individuals 
who have received Repatriation assistance may be

[[Page 63226]]

eligible to receive a waiver or deferral of their repatriation loan. 
This form is to be completed by eligible repatriates, authorized legal 
custodian, or authorized agency/individual. Exemption applies to 
unaccompanied minors and individuals eligible under 45 CFR 211, if no 
legal custodian is identified.
    7. The HHS Repatriation Program: Temporary Assistance Extension 
Request Form: under 45 CFR 211 & 212 temporary assistance may be 
furnished beyond the 90 days eligibility period if the repatriate meets 
the qualifications established under Program regulations. This form is 
to be completed by the eligible repatriate, authorized legal custodian, 
or the authorized agency/individual. This form should be submitted to 
ORR or its designated grantee generally 14 days prior to the expiration 
of the 90 days eligibility period.
    8. The HHS Repatriation Program: State Request for Federal Support 
Form: During emergency repatriation activities, States activated by ORR 
are to use this form to request support and/or assistance from HHS, 
including but not limited to required pre-approval of expenditures, 
augmentation of State personnel, funding, reimbursement, among other 
things.
    Respondents: Designated state, federal, and/or non-governmental 
agencies/individuals and eligible repatriates. Responders are 
authorized by 42 U.S.C. 1313 and 24 U.S.C. 321-329; Executive Order 
12656 (as amended by E.O. 13074, February 9, 1998; E.O. 13228, October 
8, 2001; E.O. 13286, February 28, 2003); and regulations found under 45 
CFR 211 & 212.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                          Average burden
           Instrument                 Number of      Number of responses     hours per      Total burden hours
                                     respondents        per respondent       response
----------------------------------------------------------------------------------------------------------------
The HHS Repatriation Program:    25,000 or more      1..................            0.30  7,500 or more.
 Emergency and Group Processing   depending on the
 Form.                            Emergency.
The HHS Repatriation Program:    1,000 will          1..................            0.05  50 or more.
 Privacy and Repayment            increase during
 Agreement Form.                  emergencies.
The HHS Repatriation Program:    15 or more........  1..................            0.05  0.75 or more.
 Refusal of Temporary
 Assistance Form.
The HHS Repatriation Program:    15 or more........  1..................            0.30  4.5 or more.
 Emergency and Group
 Repatriation Financial Form.
The HHS Repatriation Program:    52 or more........  12.................            0.30  187 or more.
 Non-emergency Monthly
 Financial Statement Form.
The HHS Repatriation Program:    800 or more.......  1..................            0.30  240 or more.
 Repatriation Loan Waiver and
 Referral Request Form.
The HHS Repatriation Program:    20 or more........  1..................            0.30  6 or more.
 State Request for Federal
 Support.
The HHS Repatriation Program:    50 or more........  1 or more..........            0.30  15 or more.
 Temporary Assistance Extension
 Request Form.
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 8,003.
    Additional Information: Copies of the proposed collection may be 
obtained by writing to the Administration for Children and Families, 
Office of Planning, Research and Evaluation, 370 L'Enfant Promenade 
SW., Washington, DC 20447, Attn: ACF Reports Clearance Officer. All 
requests should be identified by the title of the information 
collection. Email address: [email protected].
    OMB Comment: OMB is required to make a decision concerning the 
collection of information between 30 and 60 days after publication of 
this document in the Federal Register. Therefore, a comment is best 
assured of having its full effect if OMB receives it within 30 days of 
publication. Written comments and recommendations for the proposed 
information collection should be sent directly to the following: Office 
of Management and Budget, Paperwork Reduction Project, Email: 
[email protected], Attn: Desk Officer for the Administration 
for Children and Families.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-26467 Filed 10-16-15; 8:45 am]
 BILLING CODE 4184-01-P