Information Collection

Electronic Diversity Visa Entry Form

IC 15040 under ICR 200309-1405-006 · OMB 1405-0153.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Electronic Diversity Visa Entry Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DS-5501				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 8,000,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,000,000	8,000,000
Annual IC Time Burden (Hours)	4,000,000	4,000,000
Annual IC Cost Burden (Dollars)	8,000,000,000	8,000,000,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.