80_FR_20132 80 FR 20061 - 30-Day Notice of Proposed Information Collection: Repatriation/Emergency Medical and Dietary Assistance Loan Application

80 FR 20061 - 30-Day Notice of Proposed Information Collection: Repatriation/Emergency Medical and Dietary Assistance Loan Application

DEPARTMENT OF STATE

Federal Register Volume 80, Issue 71 (April 14, 2015)

Page Range20061-20061
FR Document2015-08597

The Department of State has submitted the information collection described below to the Office of Management and Budget (OMB) for approval. In accordance with the Paperwork Reduction Act of 1995 we are requesting comments on this collection from all interested individuals and organizations. The purpose of this Notice is to allow 30 days for public comment.

Federal Register, Volume 80 Issue 71 (Tuesday, April 14, 2015)
[Federal Register Volume 80, Number 71 (Tuesday, April 14, 2015)]
[Notices]
[Page 20061]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-08597]


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DEPARTMENT OF STATE

[Public Notice: 9096]


30-Day Notice of Proposed Information Collection: Repatriation/
Emergency Medical and Dietary Assistance Loan Application

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

-----------------------------------------------------------------------

SUMMARY: The Department of State has submitted the information 
collection described below to the Office of Management and Budget (OMB) 
for approval. In accordance with the Paperwork Reduction Act of 1995 we 
are requesting comments on this collection from all interested 
individuals and organizations. The purpose of this Notice is to allow 
30 days for public comment.

DATES: Submit comments directly to the Office of Management and Budget 
(OMB) up to May 14, 2015.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by the following 
methods:
     Email: [email protected]. You must include the 
DS form number, information collection title, and the OMB control 
number in the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Derek Rivers, Bureau of Consular Affairs, 
Overseas Citizens Services (CA/OCS/PMO), U.S. Department of State, SA-
17, 10th Floor, Washington, DC 20036 or at [email protected].

SUPPLEMENTARY INFORMATION: 

 Title of Information Collection: Repatriation/Emergency 
Medical and Dietary Assistance Loan Application.
 OMB Control Number: 1405-0150.
 Type of Request: Extension of a currently approved collection.
 Originating Office: Bureau of Consular Affairs, Overseas 
Citizens Services (CA/OCS).
 Form Number: DS-3072.
 Respondents: U.S. Citizens applying for emergency loan 
assistance.
 Estimated Number of Respondents: 1,446.
 Estimated Number of Responses: 1,446.
 Average Time per Response: 20 minutes.
 Total Estimated Burden Time: 482 hours.
 Frequency: On Occasion.
 Obligation to Respond: Required to Obtain Benefits.

    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this proposed collection, including the validity of the 
methodology and assumptions used.
     Enhance the quality, utility, and clarity of the 
information to be collected.
     Minimize the reporting burden on those who are to respond, 
including the use of automated collection techniques or other forms of 
information technology.
    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.
    Abstract of proposed collection: The DS 3072 is an application for 
an emergency loan for a destitute U.S. citizen and/or eligible family 
member to return to the United States, an application for a destitute 
U.S. citizen and/or eligible family member abroad to receive emergency 
medical and dietary assistance, and an application for a U.S. citizen 
and/or and/or eligible family member to receive a loan to assist in his 
or her repatriation to the United States, and/or to provide them with 
the funds needed to address their emergency medical and/or dietary 
needs.
    Methodology: The Bureau of Consular Affairs will post this form on 
Department of State Web sites to give respondents the opportunity to 
complete the form online, or print the form and fill it out manually 
and submit the form in person or by fax or mail.

    Dated: March 30, 2015.
Michelle Bernier-Toth,
Managing Director, Bureau of Consular Affairs, Overseas Citizen 
Services, Department of State.
[FR Doc. 2015-08597 Filed 4-13-15; 8:45 am]
 BILLING CODE 4710-06-P



                                                                                   Federal Register / Vol. 80, No. 71 / Tuesday, April 14, 2015 / Notices                                                 20061

                                                    or other forms of information                           described below to the Office of                      this proposed collection, including the
                                                    technology.                                             Management and Budget (OMB) for                       validity of the methodology and
                                                      Please note that comments submitted                   approval. In accordance with the                      assumptions used.
                                                    in response to this Notice are public                   Paperwork Reduction Act of 1995 we                       • Enhance the quality, utility, and
                                                    record. Before including any detailed                   are requesting comments on this                       clarity of the information to be
                                                    personal information, you should be                     collection from all interested                        collected.
                                                    aware that your comments as submitted,                  individuals and organizations. The                       • Minimize the reporting burden on
                                                    including your personal information,                    purpose of this Notice is to allow 30                 those who are to respond, including the
                                                    will be available for public review.                    days for public comment.                              use of automated collection techniques
                                                      Abstract of proposed collection: The                  DATES: Submit comments directly to the                or other forms of information
                                                    purpose of the DS–5528 is to document                   Office of Management and Budget                       technology.
                                                    the evacuation of persons from abroad                                                                            Please note that comments submitted
                                                                                                            (OMB) up to May 14, 2015.
                                                    when their lives are endangered by war,                                                                       in response to this Notice are public
                                                    civil unrest, or natural disaster,                      ADDRESSES: Direct comments to the
                                                                                                            Department of State Desk Officer in the               record. Before including any detailed
                                                    document issuance of a crisis                                                                                 personal information, you should be
                                                    evacuation loan, obtain a Privacy Act                   Office of Information and Regulatory
                                                                                                            Affairs at the Office of Management and               aware that your comments as submitted,
                                                    waiver to share information about the                                                                         including your personal information,
                                                    welfare of a U.S. citizen or lawful                     Budget (OMB). You may submit
                                                                                                            comments by the following methods:                    will be available for public review.
                                                    permanent resident consistent with the                                                                           Abstract of proposed collection: The
                                                    Privacy Act of 1974, and to facilitate                     • Email: oira_submission@
                                                                                                            omb.eop.gov. You must include the DS                  DS 3072 is an application for an
                                                    debt collection.                                                                                              emergency loan for a destitute U.S.
                                                      Methodology: An electronic version of                 form number, information collection
                                                                                                            title, and the OMB control number in                  citizen and/or eligible family member to
                                                    the Evacuee Manifest and Promissory                                                                           return to the United States, an
                                                    Note was created, allowing applicants to                the subject line of your message.
                                                                                                               • Fax: 202–395–5806. Attention: Desk               application for a destitute U.S. citizen
                                                    type their information into the form,                                                                         and/or eligible family member abroad to
                                                    print it, and present it to a consular                  Officer for Department of State.
                                                                                                                                                                  receive emergency medical and dietary
                                                    officer at the evacuation point.                        FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                  assistance, and an application for a U.S.
                                                    Continued software development will                     Direct requests for additional                        citizen and/or and/or eligible family
                                                    provide the capability to electronically                information regarding the collection                  member to receive a loan to assist in his
                                                    submit loan applications for                            listed in this notice, including requests             or her repatriation to the United States,
                                                    adjudication. The final-stage of software               for copies of the proposed collection                 and/or to provide them with the funds
                                                    development will not only allow the                     instrument and supporting documents,                  needed to address their emergency
                                                    applicant to enter his/her information                  to Derek Rivers, Bureau of Consular                   medical and/or dietary needs.
                                                    and submit the form, the information                    Affairs, Overseas Citizens Services (CA/                 Methodology: The Bureau of Consular
                                                    will also be made available for all stages              OCS/PMO), U.S. Department of State,
                                                    of financial processing including the                                                                         Affairs will post this form on
                                                                                                            SA–17, 10th Floor, Washington, DC                     Department of State Web sites to give
                                                    Department of State’s debt collection                   20036 or at RiversDA@state.gov.
                                                    process. Due to the potential for serious                                                                     respondents the opportunity to
                                                                                                            SUPPLEMENTARY INFORMATION:                            complete the form online, or print the
                                                    conditions during crisis events that
                                                    often affect electronic and internet                    • Title of Information Collection:                    form and fill it out manually and submit
                                                    infrastructure systems, the electronic                     Repatriation/Emergency Medical and                 the form in person or by fax or mail.
                                                    form will not replace the paper form.                      Dietary Assistance Loan Application.                 Dated: March 30, 2015.
                                                    Rather, the paper form will still be                    • OMB Control Number: 1405–0150.                      Michelle Bernier-Toth,
                                                    maintained and used in the event that                   • Type of Request: Extension of a
                                                                                                                                                                  Managing Director, Bureau of Consular
                                                    applicants are unable to submit forms                      currently approved collection.                     Affairs, Overseas Citizen Services,
                                                    electronically.                                         • Originating Office: Bureau of Consular              Department of State.
                                                                                                               Affairs, Overseas Citizens Services                [FR Doc. 2015–08597 Filed 4–13–15; 8:45 am]
                                                      Dated: March 30, 2015.                                   (CA/OCS).
                                                                                                                                                                  BILLING CODE 4710–06–P
                                                    Michelle Bernier-Toth,                                  • Form Number: DS–3072.
                                                    Managing Director, Bureau of Consular                   • Respondents: U.S. Citizens applying
                                                    Affairs, Overseas Citizen Services,                        for emergency loan assistance.
                                                    Department of State.                                    • Estimated Number of Respondents:                    DEPARTMENT OF TRANSPORTATION
                                                    [FR Doc. 2015–08595 Filed 4–13–15; 8:45 am]                1,446.                                             Federal Highway Administration
                                                    BILLING CODE 4710–06–P                                  • Estimated Number of Responses:
                                                                                                               1,446.                                             [Docket No. FHWA–2015–0006]
                                                                                                            • Average Time per Response: 20
                                                    DEPARTMENT OF STATE                                        minutes.                                           Agency Information Collection
                                                    [Public Notice: 9096]                                   • Total Estimated Burden Time: 482                    Activities: Request for the Update of
                                                                                                               hours.                                             an Information Collection
                                                    30-Day Notice of Proposed Information                   • Frequency: On Occasion.                             AGENCY: Federal Highway
                                                    Collection: Repatriation/Emergency                      • Obligation to Respond: Required to                  Administration (FHWA), DOT.
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                                                    Medical and Dietary Assistance Loan                        Obtain Benefits.
                                                                                                                                                                  ACTION: Notice and request for
                                                    Application                                                We are soliciting public comments to               comments.
                                                    ACTION:Notice of request for public                     permit the Department to:
                                                    comment and submission to OMB of                           • Evaluate whether the proposed                    SUMMARY:   FHWA invites public
                                                    proposed collection of information.                     information collection is necessary for               comments about our intention to request
                                                                                                            the proper functions of the Department.               the Office of Management and Budget’s
                                                    SUMMARY: The Department of State has                       • Evaluate the accuracy of our                     (OMB) approval for a new information
                                                    submitted the information collection                    estimate of the time and cost burden for              collection, which is summarized below


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Document Created: 2015-12-18 11:10:30
Document Modified: 2015-12-18 11:10:30
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice of request for public comment and submission to OMB of proposed collection of information.
DatesSubmit comments directly to the Office of Management and Budget (OMB) up to May 14, 2015.
ContactDirect requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed collection instrument and supporting documents, to Derek Rivers, Bureau of Consular Affairs, Overseas Citizens Services (CA/OCS/PMO), U.S. Department of State, SA- 17, 10th Floor, Washington, DC 20036 or at [email protected]
FR Citation80 FR 20061 

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