Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Emergency Repatriation Eligibility Application	Modified	1000	500	0	Form and Instruction	RR-01
					Form and Instruction	RR-01
					Form and Instruction	RR-01
					Form and Instruction	RR-01
					Form and Instruction	RR-01
					Form and Instruction	RR-01
					Form and Instruction	RR-01
Emergency Repatriation Reimbursement Request	Modified	10	3	0	Form and Instruction	RR-02
					Form and Instruction	RR-02
					Form and Instruction	RR-02
					Form and Instruction	RR-02
					Form and Instruction	RR-02
					Form and Instruction	RR-02
					Form and Instruction	RR-02
Emergency Repatriation Request for Cost Approval and Federal Support	Modified	50	15	0	Form and Instruction	RR-08
					Form and Instruction	RR-08
					Form and Instruction	RR-08
					Form and Instruction	RR-08
					Form and Instruction	RR-08
					Form and Instruction	RR-08
					Form and Instruction	RR-08
Loan Waiver and Deferral Application	Modified	100	50	0	Form and Instruction	RR-03
					Form and Instruction	RR-03
					Form and Instruction	RR-03
					Form and Instruction	RR-03
					Form and Instruction	RR-03
					Form and Instruction	RR-03
					Form and Instruction	RR-03
Planning, Training, and Exercise – Annual Workplan	New	55	55	0	Other-Workplan
Planning, Training, and Exercise – Budget and Budget Narrative	New	55	55	0	Other-Narrative
Planning, Training, and Exercise – Project Narrative	New	55	28	0	Other-Narrative
Refusal of Temporary Assistance	Modified	300	15	0	Form and Instruction	RR-06
					Form and Instruction	RR-06
					Form and Instruction	RR-06
					Form and Instruction	RR-06
					Form and Instruction	RR-06
					Form and Instruction	RR-06
					Form and Instruction	RR-06
Repatriation Post-Training Survey	New	1000	170	0	Other-Survey
Repatriation Repayment and Privacy Agreement	Modified	800	136	0	Form and Instruction	RR-05
					Form and Instruction	RR-05
					Form and Instruction	RR-05
					Form and Instruction	RR-05
					Form and Instruction	RR-05
					Form and Instruction	RR-05
					Form and Instruction	RR-05
Repatriation State Contact List	New	440	110	0	Other-Contact List
Repatriation Training and Technical Assistance Request Form	New	1000	250	0	Form	1
Routine Repatriation Reimbursement Request	Modified	250	75	0	Form and Instruction	RR-04
					Form and Instruction	RR-04
					Form and Instruction	RR-04
					Form and Instruction	RR-04
					Form and Instruction	RR-04
					Form and Instruction	RR-04
					Form and Instruction	RR-04
Temporary Assistance Extension Request	Modified	25	8	0	Form and Instruction	RR-07
					Form and Instruction	RR-07
					Form and Instruction	RR-07
					Form and Instruction	RR-07
					Form and Instruction	RR-07
					Form and Instruction	RR-07
					Form and Instruction	RR-07
Total burden requested under this ICR:		5140	1470	0
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