Submission for OMB Review; Comment Request, 63225-63226 [2015-26467]
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Federal Register / Vol. 80, No. 201 / Monday, October 19, 2015 / Notices
Scott Cragg, Susan Crowder, Ravindra
Deo, Gisile Goethe, and Kim Weaver.
James B. Petrick,
General Counsel, Federal Retirement Thrift
Investment Board.
[FR Doc. 2015–26469 Filed 10–16–15; 8:45 am]
BILLING CODE 6760–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Submission for OMB Review;
Comment Request
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 (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
VerDate Sep<11>2014
17:52 Oct 16, 2015
Jkt 238001
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 NonEmergencies 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 Nonemergency 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 Nongovernmental agencies. The list of
Repatriation Forms is as follows:
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
PO 00000
Frm 00033
Fmt 4703
Sfmt 4703
63225
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. Exemption 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. Exemption applies to
unaccompanied minors and individuals
eligible under 45 CFR 211, if no legal
custodian is identified.
4. The HHS Repatriation Program:
Emergency and Group 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 ORR to request
reimbursement of reasonable and
allowable costs, both administrative and
actual temporary services.
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 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 Deferral
Request Form: in accordance with 45
CFR 211 & 212 individuals who have
received Repatriation assistance may be
E:\FR\FM\19OCN1.SGM
19OCN1
63226
Federal Register / Vol. 80, No. 201 / Monday, October 19, 2015 / Notices
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.
Exemption 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 days 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.
Respondents: Designated state,
federal, and/or non-governmental
agencies/individuals and eligible
repatriates. Responders are authorized
by 42 U.S.C. 1313 and 24 U.S.C. 321–
329; Executive Order 12656 (as
amended by E.O. 13074, February 9,
1998; E.O. 13228, October 8, 2001; E.O.
13286, February 28, 2003); and
regulations found under 45 CFR 211 &
212.
ANNUAL BURDEN ESTIMATES
Number of
responses
per
respondent
Average
burden hours
per response
Total burden
hours
Number of respondents
The HHS Repatriation Program: Emergency
and Group Processing Form.
The HHS Repatriation Program: Privacy and
Repayment Agreement Form.
The HHS Repatriation Program: Refusal of
Temporary Assistance Form.
The HHS Repatriation Program: Emergency
and Group Repatriation Financial Form.
The HHS Repatriation Program: Non-emergency Monthly Financial Statement Form.
The HHS Repatriation Program: Repatriation
Loan Waiver and Referral Request Form.
The HHS Repatriation Program: State Request for Federal Support.
The HHS Repatriation Program: Temporary
Assistance Extension Request Form.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Instrument
25,000 or more depending on the Emergency.
1,000 will increase during emergencies ........
1 ..................
0.30
7,500 or more.
1 ..................
0.05
50 or more.
15 or more ......................................................
1 ..................
0.05
0.75 or more.
15 or more ......................................................
1 ..................
0.30
4.5 or more.
52 or more ......................................................
12 ................
0.30
187 or more.
800 or more ....................................................
1 ..................
0.30
240 or more.
20 or more ......................................................
1 ..................
0.30
6 or more.
50 or more ......................................................
1 or more ....
0.30
15 or more.
Estimated Total Annual Burden
Hours: 8,003.
Additional Information: Copies of the
proposed collection may be obtained 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. All requests should be
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Email: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
VerDate Sep<11>2014
17:52 Oct 16, 2015
Jkt 238001
Desk Officer for the Administration for
Children and Families.
Robert Sargis,
Reports Clearance Officer.
BILLING CODE 4184–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2015–N–0001]
Office of Women’s Health General
Update on Strategic Priorities and
Initiatives
Food and Drug Administration,
HHS.
ACTION:
Notice of meeting.
The Food and Drug
Administration (FDA) is announcing the
following meeting: Office of Women’s
Health General Update on Strategic
Priorities and Initiatives. FDA staff will
provide updates on strategic priorities,
educational outreach, and research
SUMMARY:
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
The meeting will be held on
November 30, 2015, 9 a.m. to 11 a.m.
ADDRESSES: The meeting will be held at
the AARP Cy Brickfield Center, 601 East
St. NW., Washington, DC 20049.
FOR FURTHER INFORMATION CONTACT:
Deborah Kallgren, Office of Women’s
Health, Food and Drug Administration,
10903 New Hampshire Ave., Silver
Spring, MD 20993–0002, 301–796–9440,
FAX: 301–847–8604, deborah.kallgren@
fda.hhs.gov.
SUPPLEMENTARY INFORMATION: There is
no fee, but pre-registration is required.
Send registration information (including
name, title, firm or organization name,
address, telephone, and fax number) to
Deborah Kallgren. Seating is limited to
25 participants (1 person per
organization).
If you need special accommodations
due to a disability, please contact
Deborah Kallgren (see FOR FURTHER
INFORMATION CONTACT) at least 7 days in
advance.
DATES:
[FR Doc. 2015–26467 Filed 10–16–15; 8:45 am]
AGENCY:
initiatives of interest to national
organizations focused on the health of
women.
E:\FR\FM\19OCN1.SGM
19OCN1
]]>Agencies
[Federal Register Volume 80, Number 201 (Monday, October 19, 2015)]
[Notices]
[Pages 63225-63226]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-26467]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
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 (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
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 Forms is as follows:
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. Exemption 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. Exemption applies to unaccompanied minors
and individuals eligible under 45 CFR 211, if no legal custodian is
identified.
4. The HHS Repatriation Program: Emergency and Group 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 ORR to request reimbursement of reasonable and allowable costs,
both administrative and actual temporary services.
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 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
Deferral Request Form: in accordance with 45 CFR 211 & 212 individuals
who have received Repatriation assistance may be
[[Page 63226]]
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. Exemption 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 days 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.
Respondents: Designated state, federal, and/or non-governmental
agencies/individuals and eligible repatriates. Responders are
authorized by 42 U.S.C. 1313 and 24 U.S.C. 321-329; Executive Order
12656 (as amended by E.O. 13074, February 9, 1998; E.O. 13228, October
8, 2001; E.O. 13286, February 28, 2003); and regulations found under 45
CFR 211 & 212.
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Average burden
Instrument Number of Number of responses hours per Total burden hours
respondents per respondent response
----------------------------------------------------------------------------------------------------------------
The HHS Repatriation Program: 25,000 or more 1.................. 0.30 7,500 or more.
Emergency and Group Processing depending on the
Form. Emergency.
The HHS Repatriation Program: 1,000 will 1.................. 0.05 50 or more.
Privacy and Repayment increase during
Agreement Form. emergencies.
The HHS Repatriation Program: 15 or more........ 1.................. 0.05 0.75 or more.
Refusal of Temporary
Assistance Form.
The HHS Repatriation Program: 15 or more........ 1.................. 0.30 4.5 or more.
Emergency and Group
Repatriation Financial Form.
The HHS Repatriation Program: 52 or more........ 12................. 0.30 187 or more.
Non-emergency Monthly
Financial Statement Form.
The HHS Repatriation Program: 800 or more....... 1.................. 0.30 240 or more.
Repatriation Loan Waiver and
Referral Request Form.
The HHS Repatriation Program: 20 or more........ 1.................. 0.30 6 or more.
State Request for Federal
Support.
The HHS Repatriation Program: 50 or more........ 1 or more.......... 0.30 15 or more.
Temporary Assistance Extension
Request Form.
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 8,003.
Additional Information: Copies of the proposed collection may be
obtained 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. All
requests should be identified by the title of the information
collection. Email address: infocollection@acf.hhs.gov.
OMB Comment: OMB is required to make a decision concerning the
collection of information between 30 and 60 days after publication of
this document in the Federal Register. Therefore, a comment is best
assured of having its full effect if OMB receives it within 30 days of
publication. Written comments and recommendations for the proposed
information collection should be sent directly to the following: Office
of Management and Budget, Paperwork Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration
for Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015-26467 Filed 10-16-15; 8:45 am]
BILLING CODE 4184-01-P
