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Repatriation/Emergency Medical and Dietary Assistance Loan Application

IC 276052 under ICR 202509-1405-004 · OMB 1405-0150.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

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Repatriation/Emergency Medical and Dietary Assistance Loan Application
 
No Removed
 
Required to Obtain or Retain Benefits
 
22 CFR 71

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DS-3072 Repatriation/Emergency Medical and Dietary Assistance Loan Application MS Form MS Forms DS-3072 Screenshots.docx Yes Yes Fillable Fileable

International Affairs and Commerce Foreign Affairs

REPATRIATION/EMERGENCY MEDICAL AND DIETARY ASSISTANCE LOAN APPLICATION   85 FR 46207

1,459 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 0 0 0 -1,459 0 1,459
Annual IC Time Burden (Hours) 0 0 0 -486 0 486
Annual IC Cost Burden (Dollars) 0 0 0 -38,830 0 38,830

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