[Federal Register Volume 82, Number 17 (Friday, January 27, 2017)]
[Notices]
[Pages 8647-8648]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-01844]


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DEPARTMENT OF STATE

[Public Notice: 9838]


60-Day Notice of Proposed Information Collection: Repatriation/
Emergency Medical and Dietary Assistance Loan Application

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
In accordance with the Paperwork Reduction Act of 1995, we are 
requesting comments on this collection from all interested individuals 
and organizations. The purpose of this notice is to allow 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to March 
28, 2017.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the Internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2017-0001'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: [email protected].
     Regular Mail: Send written comments to: U.S. Department of 
State, CA/OCS/PMO, SA-17, 10th Floor, Washington, DC 20036.
     Fax: 202-736-9111.

You must include the DS form number (if applicable), information 
collection title, and the OMB control number in any correspondence.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Derek Rivers, Bureau of Consular Affairs, 
Overseas Citizens Services (CA/OCS/PMO), U.S. Department of State, SA-
17, 10th Floor, Washington, DC 20036, who may be reached at 
[email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Repatriation/Emergency 
Medical and Dietary Assistance Loan Application.
     OMB Control Number: 1405-0150.
     Type of Request: Extension of a currently approved 
collection.
     Originating Office: Bureau of Consular Affairs, Overseas 
Citizens Services (CA/OCS).

[[Page 8648]]

     Form Number: DS-3072.
     Respondents: U.S. Citizens applying for emergency loan 
assistance.
     Estimated Number of Respondents: 1,459.
     Estimated Number of Responses: 1,459.
     Average Time Per Response: 20 minutes.
     Total Estimated Burden Time: 486 hours.
     Frequency: On Occasion.
     Obligation to Respond: Required to Obtain a Benefit.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
information technology.

Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.
    Abstract of proposed collection: The DS-3072 is an application for 
an emergency loan for a destitute U.S. citizen and/or eligible family 
member to return to the United States, or for a loan for a destitute 
U.S. citizen and/or eligible family member abroad to receive emergency 
medical and dietary assistance.
    Methodology: The Bureau of Consular Affairs will post this form on 
Department of State Web sites to give respondents the opportunity to 
complete the form online, or print the form and fill it out manually 
and submit the form in person or by fax or mail.

Michelle Bernier-Toth,
Managing Director, Bureau of Consular Affairs, Overseas Citizen 
Services, Department of State.
[FR Doc. 2017-01844 Filed 1-26-17; 8:45 am]
 BILLING CODE 4710-06-P