[Federal Register Volume 84, Number 61 (Friday, March 29, 2019)]
[Notices]
[Pages 11982-11983]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-06059]


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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.: 0970-0474.
    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 Human Services Emergency Preparedness and 
Response (OHSEPR). 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 (E.O.) 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 
E.O. 12656 (53 CFR 47491), ``Assignment of emergency preparedness 
responsibilities,'' HHS was given the lead responsibility to develop 
plans and procedures to provide assistance to U.S. citizens and others 
evacuated from overseas.
    In order to effectively and efficiently manage these legislative 
authorities, the Program has been divided into two major activities, 
Emergency and Non-Emergency Repatriation. 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 using 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. Emergency and Group Processing Form (RR-01): During an emergency 
repatriation, individuals complete portions of this form to apply for 
repatriation assistance. Then State personnel use the form to perform a 
preliminary eligibility assessment. Authorized ACF staff make final 
eligibility decisions.
    2. Emergency and Group Repatriation Financial Form (RR-02): States 
and supporting agencies complete this form if they have entered into an 
agreement with OHSEPR allowing for reimbursement of reasonable and 
allowable costs during emergency repatriation activities.
    3. Repatriation Loan Waiver and Deferral Request Form (RR-03): 
Eligible repatriates, authorized legal custodians, or authorized state 
staff complete this form to request a waiver or deferral of a 
repatriation loan.
    4. Non-Emergency Monthly Financial Statement Form (RR-04): States 
and other authorized OHSEPR agencies use this form to request 
reimbursement of reasonable and allowable costs for the provision of 
temporary assistance during non-emergency activities.
    5. Privacy and Repayment Agreement Form (RR-05): This form 
authorizes HHS to release personally identifiable information to 
appropriate agencies for the purpose of providing services. In 
addition, through this form, eligible repatriates or authorized legal 
custodians agree to accept services under the Program's terms and 
conditions, which include repaying the federal government for services 
received.
    6. Refusal of Temporary Assistance Form (RR-06): Eligible 
repatriates or authorized legal custodians use this form to confirm and 
record their decision to relinquish repatriation services.
    7. Temporary Assistance and Extension Request Form (RR-07): To 
request an extension of assistance beyond the 90-day eligibility 
period, eligible repatriates, authorized legal custodians, or 
authorized state staff submit this form to OHSEPR or its designated 
grantee generally 14 days prior to the expiration of the repatriate's 
eligibility period.
    8. Emergency and Group Repatriation State Request for Federal 
Support Form (RR-08): During emergency repatriation activities, OHSEPR-
activated states must use this form to request support and/or 
assistance from the federal government, including but not limited to 
augmentation of personnel, funding, and reimbursement.
    Respondents: Designated state, federal, and/or non-governmental 
agencies and 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.

[[Page 11983]]



                                             Annual Burden Estimates
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                                                                                  Average burden
                      Form                           Number of     Frequency of      hours per     Total annual
                                                    respondents    the response      response      burden hours
----------------------------------------------------------------------------------------------------------------
Emergency and Group Processing Form.............          25,000               1            0.30           7,500
Privacy and Repayment Agreement Form............          25,000               1            0.05           1,250
Refusal of Temporary Assistance Form............              15               1            0.05            0.75
Emergency and Group Repatriation Financial Form.              15               1            0.30             4.5
Non-Emergency Monthly Financial Statement Form..              52              12            0.30             187
Repatriation Loan Waiver and Deferral Request                800               1            0.30             240
 Form...........................................
Emergency and Group Repatriation State Request                20               1            0.30               6
 for Federal Support Form.......................
Temporary Assistance and Extension Request Form.              50               1            0.30              15
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 9203.25.

    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, 330 C St. SW, Washington, 
DC 20201, 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.

Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2019-06059 Filed 3-28-19; 8:45 am]
 BILLING CODE 4184-01-P