[Federal Register Volume 77, Number 129 (Thursday, July 5, 2012)]
[Notices]
[Pages 39709-39710]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-16285]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Comment Request
Proposed Projects
Title: U.S. Repatriation Program Forms.
OMB No.: 0970-NEW.
Description: 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 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 and later re-delegated 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. 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 or others evacuated from
overseas areas.
Overall, the Program manages two major activities, Emergency and
Non-emergency Repatriation Activities. The ongoing routine arrivals of
individual repatriates and the repatriation of individuals with mental
illness constitute the Program Non-emergency activities. Emergency
activities are comprised of group repatriations (evacuations of 50-500
individuals) and emergency repatriations (evacuations of 500 or more
individuals). Operationally, these activities involve different kinds
of preparation, resources, and implementation. However, the core
Program policies and administrative procedures are essentially the
same.
1. The U.S. Repatriation Program Emergency and Group Processing
Form: Under 45 CFR parts 211 and 212, ORR 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 to identify the services that need to be
provided. This form is to be utilized during emergencies and group
repatriations. Individuals interested in receiving Repatriation
assistance will complete appropriate portions of this form. State
personnel will utilize this form as a guide to perform an initial
assessment and to identify the type of services an eligibility person
might be able to receive. Furthermore, an authorized federal staff from
the Administration for Children and Families (ACF) will make final
eligibility determination by completing the appropriate section of this
form.
2. The U.S. Repatriation Program Privacy and Repayment Agreement
Form: Under 45 CFR parts 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 ORR 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 services received while
in the Program. This form is to be completed by eligible repatriates or
authorized legal custodian. Exception applies to minors and individuals
eligible under 45 CFR part 211 when no legal custodian is identified.
3. Relinquish Repatriation Services 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 Program assistance. This form is to be completed by
eligible repatriates or authorized legal custodian. Exception applies
to minors and individuals eligible under 45 CFR part 211 when no legal
custodian is identified.
4. The U.S. Repatriation Program Emergency Reimbursement Form:
Under Section 1113 of the Social Security Act, ORR 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, in
advance or by way of reimbursement, as may be determined by ORR. This
form is to be utilized and completed by ORR partners to request
reimbursement of reasonable and allowable costs, both administrative
and actual temporary services, associated to services provided under
the Program Emergency activities. For the purpose of this document, the
word partner has the same meaning of ``agency.'' Definition is found
under 45 CFR 212.1 (i).
5. The U.S. Repatriation Program Non-emergency Reimbursement Form:
Under Section 1113 of the Social Security Act, ORR 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, in
advance or by way of reimbursement, as may be determined by ORR. This
form is to be utilized and completed by ORR partners to request
reimbursement of reasonable and allowable costs, both administrative
and actual temporary services, associated to services provided under
the Program non-emergency activities.
6. The U.S. Repatriation Program Financial Waiver Request Form:
Under 45 CFR parts 211 & 212 individuals who have received Repatriation
assistance may be eligible to receive waivers and/or deferral if they
fall within the repayment exceptions found with theses regulations.
This form is to be completed by eligible repatriates or authorized
legal custodian or state repatriation coordinator whenever appropriate.
Exception applies to minors and individuals eligible under 45 CFR part
211 when no legal custodian is identified.
[[Page 39710]]
7. The U.S. Repatriation Program Temporary Assistance Extension
Request Form: Under 45 CFR parts 211 & 212 temporary assistance may be
furnished beyond the 90 days eligibility period if the individual falls
within the eligibility requirements for an extension. This form is to
be completed by the eligible repatriates or authorized legal custodian
or state repatriation coordinator whenever appropriate. This form must
be submitted to ORR or its authorized grantee 14 days prior to the 90
days eligibility period ends, unless the circumstances surrounding the
case merits submission after the 14th day.
8. The U.S. Repatriation Program Individual Case Management Report
and Financial Claim Form: Under Section 1113 of the Social Security
Act, ORR 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, in advance or by way of
reimbursement, as may be determined by ORR. This form is to be utilized
and completed by ORR partners to request reimbursement of reasonable
and allowable costs, both administrative and actual temporary services,
and to provide individual case updates. This form is to be completed by
the eligible individual case worker and/or service provider.
Respondents: Repatriation Program partners (e.g. States, federal
agencies, non-governmental agencies, etc.) and individuals repatriated
or evacuated by DOS from overseas. These respondents are authorized
under Title XI, Section 1113 of the Social Security Act (42 U.S.C.
1313), Executive Order 12656 (amended by E.O. 13074, February 9, 1998;
E.O. 13228, October 8, 2001; E.O. 13286, February 28, 2003), and 45 CFR
parts 211 & 212.
Annual Burden Estimates
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Number of Average
Instrument Number of responses per burden hours Total burden hours
respondents respondent per response
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The U.S. Repatriation Program 50 or more........... 1 0.15 7.5 or more.
Emergency and Group Processing
Form.
The U.S. Repatriation Program 700 or more.......... 1 0.10 70 or more.
Privacy and Repayment Agreement
Form:
Relinquish Repatriation Services 10 or more........... 1 0.05 0.5 or more.
Form.
The U.S. Repatriation Program 4 or more............ 1 1 4 or more.
Emergency Reimbursement Form:
The U.S. Repatriation Program Non- 53 or more........... 1 0.30 17.9 or more.
emergency Reimbursement Form:
The U.S. Repatriation Program 100 or more.......... 1 1 100 or more.
Financial Waiver Request Form:
The U.S. Repatriation Program 20 or more........... 1 .30 6 or more.
Temporary Assistance Extension
Request Form.
The U.S. Repatriation Program 53 or more........... 1 1 53 or more.
Individual Case Management Report
and Financial Claim Form:
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Estimated Total Annual Burden Hours: 258.90
In compliance with the requirements of Section 506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Administration for Children and
Families is soliciting public comment on the specific aspects of the
information collection described above. Copies of the proposed
collection of information can be obtained and comments may be forwarded
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. Email
address: [email protected]. All requests should be identified
by the title of the information collection.
The Department specifically requests comments on: (a) Whether the
proposed collection of information is necessary for the proper
performance of the functions of the agency, including whether the
information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the proposed collection of
information; (c) the quality, utility, and clarity of the information
to be collected; and (d) ways to minimize the burden information to be
collected; and (d) ways to minimize the burden of the collection of
information on respondents, including through the use of automated
collection techniques or other forms of information technology.
Consideration will be given to comments and suggestions submitted
within 60 days of this publication.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2012-16285 Filed 7-3-12; 8:45 am]
BILLING CODE 4184-01-P