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OMB Control No: 1405-0082	ICR Reference No: 202607-1405-006
Status: Received in OIRA	Previous ICR Reference No: 202210-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Petition to Classify Special Immigrant Under INA 203(b)(4) as an Employee or Former Employee of the U.S. Government Abroad
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/29/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2026
Responses	3,000	600
Time Burden (Hours)	750	100
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	3,000	600	2,400
Annual Time Burden (Hours)	750	100	650
Annual Cost Burden (Dollars)	0	0	0

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

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The Department estimates that approximately 3,000 respondents will complete form DS-1884 each year. This estimate is derived from the number of visa slots available to applicants eligible to file the form following the enactment of Section 5104 of the National Defense Authorization Act of 2024 (formerly the Granting Recognition to Accomplished Talented Employees for Unwavering Loyalty (GRATEFUL) Act). The Department estimates that each response will take approximately 15 minutes to complete. This means the total hour time burden is 750 hours.

Annual Cost to Federal Government: $112,520

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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Anabel Moreno-Mendez 571 720-4400

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