Afghanistan Request for Consular Services Form

OMB Control No:	ICR Reference No: 202110-1405-001
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Afghanistan Request for Consular Services Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/28/2021
Date Submitted to OIRA: 10/28/2021

	Requested	Previously Approved
Expiration Date	6 Months From Approved
Responses	260,000	0
Time Burden (Hours)	65,000	0
Cost Burden (Dollars)	2,464,800	0

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Abstract: The purpose of collecting this information is to assist the Department of State in planning and coordinating the evacuation or relocation from Afghanistan of private U.S. citizens, Lawful Permanent Residents (LPRs), Special Immigrant Visa (“SIV”) holders and applicants, and other individuals at risk due to the security situation in the country, and where applicable in facilitating assistance in Afghanistan and onward transportation to and assistance in intermediate locations and/or the United States.

Emergency Justfication: Due to the emergency situation surrounding the evacuation and relocation of individuals from Afghanistan, and the disruption to and subsequent suspension of U.S. Embassy operations in Kabul, a web-based form to collect this information was put in use August 14. The original form and a subsequent iteration have been used extensively already and a third version is pending; all solicit largely the same basic identity and contact information from individuals. Collection is intended to continue until eligible individuals are no longer seeking and requesting assistance.

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Authorizing Statute(s): US Code: 8 USC 1101 Name of Law: INA    US Code: 22 USC 2671 Name of Law: Emergency Expenditures    US Code: 22 USC 2656 Name of Law: Management of Foreign Affairs

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Afghanistan Request for Consular Services Form None Afghanistan Request for Consular Services Form

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ICR Summary of Burden

	Total Request	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	260,000	0	0	260,000	0	0
Annual Time Burden (Hours)	65,000	0	0	65,000	0	0
Annual Cost Burden (Dollars)	2,464,800	0	0	2,464,800	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The purpose of collecting this information is to assist the Department of State in planning and coordinating the evacuation or relocation from Afghanistan of private U.S. citizens, Lawful Permanent Residents (LPRs), Special Immigrant Visa (“SIV”) holders and applicants, and other individuals at risk due to the security situation in the country, and where applicable in facilitating assistance in Afghanistan and onward transportation to and assistance in intermediate locations and/or the United States.

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Alice Kottmyer 202 647-2318 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 10/28/2021

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