Information Collection

JADE Act Questionnaire

IC 279061 under ICR 202602-1405-002 · OMB 1405-0236.

Documents and Forms

Document Name Document Type
Form DS-5537 JADE Act Questionnaire JADE Act Questionnaire Form and Instruction
DS-5537 JADE Act Questionnaire (005) Tab 4 - Copy of DS-5537 - 30 Day PRA - 2026.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	JADE Act Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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	DS-5537	JADE Act Questionnaire	(005) Tab 4 - Copy of DS-5537 - 30 Day PRA - 2026.pdf		Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title: JADE Act Questionnaire	FR Citation: 90 FR 12943

Number of Respondents: 22,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	22,800	2,300	20,500
Annual IC Time Burden (Hours)	11,400	1,150	10,250
Annual IC Cost Burden (Dollars)	0	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.

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