Information Collection

Affidavit of Identifying Witness

IC 14904 under ICR 201202-1405-002 · OMB 1405-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-71 Affidavit of Identifying Witness	Form and Instruction
DS-71 Affidavit of Identifying Witness DS-71 (Revision 7-16-2013).pdf	Form and Instruction

IC Title:

Affidavit of Identifying Witness

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 251

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-71	Affidavit of Identifying Witness	DS-71 (Revision 7-16-2013).pdf		No		Paper Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 44,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	44,000	-119,300	163,300
Annual IC Time Burden (Hours)	3,667	-9,941	13,608
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
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.