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Federal forms, ICRs, and supporting documents

Information Collection Request

Statement of Claim Related to Deportation from France During the Holocaust

ICR 201506-1405-003 · OMB 1405-0219 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-7713 Statement of Claim Related to Deportation from France During the Holocaust Form and Instruction New Repair queued
Holocaust Supporting Statement v2 (7-23-15).docx Supporting Statement A Uploaded 2015-07-23 Available
U.S.-France Agreement on Compensation for Certain Victims of Holocaust Deportation.pdf Supplementary Document Uploaded 2015-06-30 Available
IC Document Collections
IC IDCollectionTypeStatusForm
217292 Statement of Claim Related to Deportation from France During the Holocaust Form and Instruction New
ICR Details
1405-0219 201506-1405-003
Historical Active
STATE/AFA
Statement of Claim Related to Deportation from France During the Holocaust
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 07/31/2015
Retrieve Notice of Action (NOA) 06/30/2015
  Inventory as of this Action Requested Previously Approved
07/31/2018 36 Months From Approved
2,000 0 0
6,000 0 0
7,000 0 0
The information gathered will be used by the Department of State to evaluate claims from individuals harmed by deportation "from France towards a location outside of France during the Second World War as part of the anti-Semitic persecution carried out by the German Occupation authorities or the Vichy Government."
US Code: 22 USC 2651a; 2656; 2668a Name of Law: Disposition of Trust Funds Received from Foreign Governments for Citizens of the United States
  
None
Not associated with rulemaking
  80 FR 22604 04/22/2015
80 FR 37352 06/30/2015
Yes
  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 2,000 0 0 2,000 0 0
Annual Time Burden (Hours) 6,000 0 0 6,000 0 0
Annual Cost Burden (Dollars) 7,000 0 0 7,000 0 0
Yes
Miscellaneous Actions
No
This is a new information Collection
$186,560
No
No
No
No
No
Uncollected
Alice Kottmyer 202 647-2318 [email protected]
  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.
06/30/2015