[Federal Register Volume 80, Number 114 (Monday, June 15, 2015)]
[Notices]
[Pages 34161-34163]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-14465]
-----------------------------------------------------------------------
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 (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 (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 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 Form is as follows:
[[Page 34162]]
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. Excemption 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. Excemption applies to unaccompanied minors
and individuals eligible under 45 CFR 211, if no legal custodian is
identified.
4. The HHS Repatriation Program: Emergency 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 ACF/ORR to request
reimbursement of reasonable and allowable costs, both administrative
and actual temporary services, associated to the support provided
during emergency activities.
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 ACF/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
Feferral Request Form: In accordance with 45 CFR 211 & 212 individuals
who have received Repatriation assistance may be 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. Excemption 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-day 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.
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Average burden
Instrument Number of Number of responses hours per Total burden hours
respondents per respondent response
----------------------------------------------------------------------------------------------------------------
The HHS Repatriation 500 or more......... 1................... 0.30 150 or more.
Program: Emergency and
Group Processing Form.
The HHS Repatriation 1,000 or more....... 1................... 0.05 50 or more.
Program: Privacy and
Repayment Agreement Form.
The HHS Repatriation 20 or more.......... 1................... 0.05 1 or more.
Program: Refusal of
Temporary Assistance Form.
The HHS Repatriation 15 or more.......... 1................... 0.30 4.5 or more.
Program: Emergency
Repatriation Financial Form.
The HHS Repatriation 52 or more.......... 1................... 0.30 15.6 or more.
Program: Non-emergency
Monthly Financial Statement
Form.
The HHS Repatriation 100 or more......... 1................... 1 100 or more.
Program: Repatriation Loan
Waiver and Feferral Request
Form.
The HHS Repatriation 20 or more.......... 1................... 0.20 4 or more.
Program: State Request for
Federal Support.
The HHS Repatriation 50 or more.......... 1 or more........... 0.20 10 or more.
Program: Temporary
Assistance Extension
Request Form.
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 335.1.
In compliance with the requirements of Section 506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Administration for Children and
[[Page 34163]]
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 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. 2015-14465 Filed 6-12-15; 8:45 am]
BILLING CODE 4184-01-P