Foreign Diplomatic Services Applications (FDSA)

Forms and Documents

Document Name	Status
Form DS-1972 United States Department of State Driver License and Tax Exemption Card Application Form and Instruction	Modified
Form DS-2008E Application for Notification of Termination of Diplomatic, Consular, or Foreign Government Employment - eGov System Form and Instruction	New
Form DS-2007 Notification of Dependents of Diplomatic, Consular and Foreign Government Employees Form	New
Form DS-2006E Notification of Change Identification Card Request - eGov System Form and Instruction	New
Form DS-2006 Notification of Change Identification Card Request Form	New
Form DS-2005 Application for Notification of Appointment for Honorary Consular Officer Form	New
Form DS-2004 Applying for a Notification of Appointment of Foreign Government Employee Form	New
Form DS-2003E Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer - eGov System Form and Instruction	New
Form DS-2003 Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer Form	New
Form DS-1504 Request for Customs Clearance of Merchandise Form	New
Form DS-104E Application for Replacement Plates - eGov System Form and Instruction	New
Form DS-99E Application for Exemption of Gasoline Tax - eGov System Form and Instruction	New
Form DS-102E Application for (Motor Vehicle) Title - eGov System Form and Instruction	New
Form DS-102 Application for (Motor Vehicle) Title Form	New
Form DS-101E Application for Registration (Personal Vehicle) - eGov System Form and Instruction	New
Form DS-101 Application for Registration (Personal Vehicle) Form	New
Form DS-100E Application for Registration (Mission Vehicle) - eGov System Form and Instruction	New
Form DS-100 Application for Registration (Mission Vehicles) Form	New
Form DS-98E Application for a Diplomatic Tax Exemption for Taxes on Utilities - eGov System Form and Instruction	New
Form DS-1972T Application for a Mission or Personal Tax Exemption Card - eGov System Form and Instruction	New
Form DS-1972D United States Department of State Driver License - eGov System Form and Instruction	New
LEGAL AUTHORITIES.doc Supplementary Document	2009-05-22
7) eGov user screens part 2.doc Supplementary Document	2009-05-22
7) eGov user screens part 1.doc Supplementary Document	2009-05-22
Supporting Statement For OFM Protocol PRA submission FINAL_.doc Supporting Statement A	2009-08-18

IC Document Collections

IC ID	Document Title	Status
38741	United States Department of State Driver License and Tax Exemption Card Application Form and Instruction	Modified
189076	Application for Notification of Termination of Diplomatic, Consular, or Foreign Government Employment - eGov System Form and Instruction	New
189075	Notification of Dependents of Diplomatic, Consular and Foreign Government Employees Form	New
189074	Notification of Change Identification Card Request - eGov System Form and Instruction	New
189073	Notification of Change Identification Card Request Form	New
189071	Application for Notification of Appointment for Honorary Consular Officer Form	New
189070	Applying for a Notification of Appointment of Foreign Government Employee Form	New
189069	Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer - eGov System Form and Instruction	New
189068	Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer Form	New
189067	Request for Customs Clearance of Merchandise Form	New
189066	Application for Replacement Plates - eGov System Form and Instruction	New
189065	Application for Exemption of Gasoline Tax - eGov System Form and Instruction	New
189064	Application for (Motor Vehicle) Title - eGov System Form and Instruction	New
189063	Application for (Motor Vehicle) Title Form	New
189062	Application for Registration (Personal Vehicle) - eGov System Form and Instruction	New
189061	Application for Registration (Personal Vehicle) Form	New
189059	Application for Registration (Mission Vehicle) - eGov System Form and Instruction	New
189058	Application for Registration (Mission Vehicles) Form	New
189049	Application for a Diplomatic Tax Exemption for Taxes on Utilities - eGov System Form and Instruction	New
189048	Application for a Mission or Personal Tax Exemption Card - eGov System Form and Instruction	New
189036	United States Department of State Driver License - eGov System Form and Instruction	New

ICR Details

OMB Control No: 1405-0105	ICR Reference No: 200904-1405-006
Status: Historical Active	Previous ICR Reference No: 200804-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Foreign Diplomatic Services Applications (FDSA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/19/2009
	Date Received in OIRA: 05/22/2009
Terms of Clearance: DoS is reminded to be sure that an updated Supporting Statement is included and reflects the burden and cost changes reflected in each submission.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2012	36 Months From Approved	07/31/2011
Responses	69,772	0	6,385
Time Burden (Hours)	23,753	0	3,418
Cost Burden (Dollars)	0	0	95,775

---

Abstract: "Diplomatic Privileges" To issue DOS Driver Licenses to qualified foreign mission personnel and their dependents in the United States. Also to determine eligibility for sales tax exemption of foreign missions and their personnel in the U.S., based upon reciprocal extentions of such benefits to U.S. diplomatic personnel overseas.

---

Authorizing Statute(s): US Code: 22 USC 4301 Name of Law: Foreign Missions Act
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 37	02/26/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 97	05/21/2009
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 21

IC Title	Form No.	Form Name
Application for Registration (Personal Vehicle) - eGov System	DS-101E	Application for Registration (Personal Vehicle)
Application for (Motor Vehicle) Title	DS-102	Application for (Motor Vehicle) Title
Application for Exemption of Gasoline Tax - eGov System	DS-99E	Application for Exemption of Gasoline Tax
Application for Registration (Personal Vehicle)	DS-101	Application for Registration (Personal Vehicle)
Application for (Motor Vehicle) Title - eGov System	DS-102E	Application for (Motor Vehicle) Title
Application for Registration (Mission Vehicles)	DS-100	Application for Registration (Mission Vehicles)
Application for Registration (Mission Vehicle) - eGov System	DS-100E	Application for Registration (Mission Vehicle)
Application for Notification of Appointment for Honorary Consular Officer	DS-2005	Application for Notification of Appointment for Honorary Consular Officer
United States Department of State Driver License - eGov System	DS-1972D	United States Department of State Driver License
Application for a Mission or Personal Tax Exemption Card - eGov System	DS-1972T	Application for a Mission or Personal Tax Exemption Card
Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer - eGov System	DS-2003E	Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer and Foreign Government Employee
Application for a Diplomatic Tax Exemption for Taxes on Utilities - eGov System	DS-98E	Application for a Diplomatic Tax Exemption for Taxes on Utilities
Request for Customs Clearance of Merchandise	DS-1504	Request for Customs Clearance of Merchandise
Notification of Change Identification Card Request	DS-2006	Notification of Change Identification Card Request
United States Department of State Driver License and Tax Exemption Card Application	DS-1972	U.S. Department of State Driver License & Tax Exemption Card Application
Application for Notification of Termination of Diplomatic, Consular, or Foreign Government Employment - eGov System	DS-2008E	Application for Notification of Termination of Diplomatic, Consular, or Foreign Government Employment
Application for Replacement Plates - eGov System	DS-104E	Application for Replacement Plates
Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer	DS-2003	Applying for a Notification of Appointment of Foreign Diplomatic Officer, Career Consular Officer
Notification of Change Identification Card Request - eGov System	DS-2006E	Notification of Change Identification Card Request
Notification of Dependents of Diplomatic, Consular and Foreign Government Employees	DS-2007	Notification of Dependents of Diplomatic, Consular and Foreign Government Employees
Applying for a Notification of Appointment of Foreign Government Employee	DS-2004	Applying for a Notification of Appointment of Foreign Government Employee

---

ICR Summary of Burden

	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	69,772	6,385	0	62,755	632	0
Annual Time Burden (Hours)	23,753	3,418	0	20,019	316	0
Annual Cost Burden (Dollars)	0	95,775	0	-95,775	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: Yes

Burden Reduction Due to: Using Information Technology

Short Statement: The Information Collections contained under 1405-0105, Foreign Diplomatic Services Applications (FDSA), were at the last renewal entirely paper based. Since the last renewal, an electronic system ("eGov") was developed that enabled the end-user to submit the information for many of the paper based forms electronically. Program changes indicated in this collection are the result of a transition to, and expanded use of the electronic submission option (eGov). This has resulted in a change in the number of foreign mission respondents complying with this new State Department policy. As a result of reciprocity agreements, the additional changes indicated have resulted in an increase or decrease in the purchase, lease, and disposition of vehicles; a total replacement of license plates and the resulting replacement of license plate codes for security reasons; and changes to the tax reciprocity matrix requiring the tax exemption card to be changed and reissued.

---

Annual Cost to Federal Government: $3,142,393

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

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

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(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: 05/22/2009

---