Information Collection

INTERNational Connections

IC 191264 under ICR 201301-1405-002 · OMB 1405-0190.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0190 can be found here:

Documents and Forms

Document Name Document Type
Form DS-5103 INTERNational Connections Form and Instruction
DS-5103 INTERNational Connections 1405-0190 IC (Screen Shots) 01-23-2013.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	INTERNational Connections	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR Part 362 Subpart B 5 CFR 362.201 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-5103	INTERNational Connections	1405-0190 IC (Screen Shots) 01-23-2013.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	500	500
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.