OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Supplemental Registration for the Diversity Immigrant Visa Program

ICR 200911-1405-005 · OMB 1405-0098 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DSP-122 Supplemental Registration for the Diversity Immigrant Visa Program Form and Instruction Modified Available
Legal Authorities 2009.doc Supplementary Document Uploaded 2009-11-23 Available
Legal Authorities (3).doc Supplementary Document Uploaded 2006-11-09 Available
Supporting Statement 2009.doc Supporting Statement A Uploaded 2009-11-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14935 Supplemental Registration for the Diversity Immigrant Visa Program Form and Instruction Modified
ICR Details
1405-0098 200911-1405-005
Historical Active 200611-1405-002
STATE/AFA
Supplemental Registration for the Diversity Immigrant Visa Program
Extension without change of a currently approved collection   No
Regular
Approved without change 01/15/2010
Retrieve Notice of Action (NOA) 11/23/2009
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved 01/31/2010
60,000 0 60,000
30,000 0 30,000
0 0 0
Form DSP-122 is completed by aliens seeking diversity immigrant visas to the U.S. Aliens who have "won" the Diversity Visa lottery complete Form DSP-122 as part of the process to apply for a diversity immigrant visa.
US Code: 8 USC 1153 Name of Law: Immigration and Nationality Act
  
None
Not associated with rulemaking
  74 FR 135 07/16/2009
74 FR 224 11/23/2009
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 60,000 60,000 0 0 0 0
Annual Time Burden (Hours) 30,000 30,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$175,000
No
No
Uncollected
Uncollected
No
Uncollected
Emily Cooperman 2026631203
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/23/2009