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OMB Control No: 1405-0226	ICR Reference No: 202404-1405-004
Status: Received in OIRA	Previous ICR Reference No: 202102-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Supplemental Questions for Visa Applicants
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 04/30/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	120,500	70,500
Time Burden (Hours)	70,555	70,500
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	120,500	70,500	50,000
Annual Time Burden (Hours)	70,555	70,500	55
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Form is now being given in an electronic form

Annual Cost to Federal Government: $5,062,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

Agency Contact: Anabel Moreno-Mendez 571 720-4400