Information Collection

Supplemental Registration for the Diversity Immigrant Visa Program

IC 14935 under ICR 200911-1405-005 · OMB 1405-0098.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0098 can be found here:

Documents and Forms

Document Name Document Type
Form DSP-122 Supplemental Registration for the Diversity Immigrant Visa Program Form and Instruction
DSP-122 Supplemental Registration for the Diversity Immigrant Vi Supplemental Registration for the Diversity Immigrant Visa Program.pdf www.travel.state.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplemental Registration for the Diversity Immigrant Visa Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DSP-122	Supplemental Registration for the Diversity Immigrant Visa Program	Supplemental Registration for the Diversity Immigrant Visa Program.pdf	www.travel.state.gov	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60,000	60,000
Annual IC Time Burden (Hours)	30,000	30,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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