Application for Additional Visa Pages or Miscellaneous Passport Services

Application for Additional Visa Pages or Miscellaneous Passport Services

OMB: 1405-0159

IC ID: 15049

Information Collection (IC) Details

View Information Collection (IC)

Application for Additional Visa Pages or Miscellaneous Passport Services
 
No Modified
 
Required to Obtain or Retain Benefits
 
22 CFR 50-51  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form DS-4085 Application for Additional VISA PAges Internet Form DS-4085.pdf www.travel.state.gov Yes No Fillable Printable
Form and Instruction DS-4085 Application for Additional Visa Pages or Miscellaneous Passport Services DS-4085 10-25-07.pdf www.travel.state.gov Yes No Fillable Printable
Form and Instruction DS-4085 Application for additional VISA Pages or Miscellaneous Passport Services OMB passback DS-4085 12-11-07.pdf www.travel.state.gov Yes No Fillable Printable
Form and Instruction DS-4085 Application for Additional VISA Pages or Miscellaneous Passport Services DS-4085 (2-2010).pdf www.travel.state.gov Yes No Fillable Printable
Form and Instruction DS-4085 Application for Additional Visa Pages or Miscellaneous Passport Services DS-4085 (1-2011).pdf www.travel.state.gov Yes No Fillable Printable

Homeland Security Border and Transportation Security

 

146,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 146,000 0 0 86,000 0 60,000
Annual IC Time Burden (Hours) 48,667 0 0 28,667 0 20,000
Annual IC Cost Burden (Dollars) 17,645,300 0 16,802,300 0 0 843,000

Title Document Date Uploaded
Justification of Changes for DS-4085 Justification of Changes for DS-4085.doc 10/26/2007
Justification of Nonsub changes for DS-4085 (2-2010) Justification for Nonsub Change DS-4085 (2-2010).doc 02/23/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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