Information Collection Request
Repatriation/Emergency Medical and Dietary Assistance Loan Application
ICR 202404-1405-003 · OMB 1405-0150 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0150 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan Application |
Form and Instruction | Modified | Repair queued |
 Privacy Act Statement Changes-easy to read.docx |
Supplementary Document | Uploaded 2024-04-15 | Missing upstream |
| 2024 04 03 856 am Answers to OIRA 2020 Questions DS 3072 Supporting Statement CLEAN NO COMMENTS.docx |
Supplementary Document | Uploaded 2024-04-15 | Repair queued |
| Non-substantive ICR.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2019-06-26 | Repair queued |
 DS-3072 Legal Authorities.doc |
Supplementary Document | Uploaded 2017-06-30 | Repair queued |
| 2024 04 03 901 AM DS-3072 Supporting Statement 2020 doc Revised Clean Version NO L COMMENTS OR EDITS.docx |
Supporting Statement A | Uploaded 2024-04-15 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 15037 |  Repatriation/Emergency Medical and Dietary Assistance Loan Application |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | STATE/AFA |
| OMB Control No | 1405-0150 |
| Type of Information Collection | Reinstatement without change of a previously approved collection |
| Previous ICR Reference No | 201906-1405-002 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |