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pdfCEAC IV Form
DS-260
OMB Submission
User Interface Design
Presentation V3
April 16, 2009
Bureau of Consular Affairs
Consular Systems and Technology
Instructions Page
CEAC IV Form DS-260
1
Sign In Page
CEAC IV Form DS-260
2
Summary Information Page
CEAC IV Form DS-260
3
Applicant List – Immigration Visa and Alien
Registration Application
CEAC IV Form DS-260
4
Getting Started Page – Immigration Visa and Alien
Registration Application
CEAC IV Form DS-260
5
Personal Information 1 Page
Displayed for all applicants. Answered ‘No’ to the question “Have you ever used other names (i.e., maiden,
religious, professional, alias, etc.)?”.
CEAC IV Form DS-260
6
Personal Information 1 Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Have you ever used other names (i.e., maiden, religious,
professional, aliases, etc.)?’.
CEAC IV Form DS-260
7
Personal Information 2 Page
Displayed for all applicants. Answered ‘No’ to the question ‘Do you hold or have you held a nationality other
than the one you have indicated above?’.
CEAC IV Form DS-260
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Personal Information 2 Page
Displayed for all applicants. Answered ‘Nationality’. Answered ‘Yes’ to the questions ‘Do you hold or have you
held a nationality other than the one indicated in question above on nationality?’ and ‘Do you hold a passport for
the other nationality above?’. No additional fields are triggered if ‘No’ is answered to the question ‘Do you hold a
passport for the nationality above?’.
CEAC IV Form DS-260
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Present and Previous Address Information Page
Displayed for all applicants. All questions answered ‘No’.
CEAC IV Form DS-260
10
Present and Previous Address Information Page
Displayed for all applicants. All questions answered ‘Yes’.
CEAC IV Form DS-260
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Mailing and Permanent Address Page
Displayed for all applicants. All questions answered ‘No’.
CEAC IV Form DS-260
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Mailing and Permanent Address
Displayed for all applicants. All questions answered ‘Yes’.
CEAC IV Form DS-260
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Mailing and Permanent Address Page
Displayed for all applicants. Answered ‘No’ to the question ‘Is this address where you want your Permanent
Residence Card (Green Card) mailed?’.
CEAC IV Form DS-260
14
Family Information: Parents Page
Displayed for all applicants. All answers to questions are ‘No’.
CEAC IV Form DS-260
15
Family Information: Parents Page
Displayed for all applicants. Answered ‘No’ to ‘Is your father still living?’. Answered ‘Yes’ to ‘Is your mother still living?’
CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants. All answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants. Answered ‘No’ the question ‘Is your mother’s address the same as your
father’s?’.
CEAC IV Form DS-260
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Family Information: Parents Page
Displayed for all applicants. Answered ‘Do Not Know’ to the questions ‘Surname’ and ‘Given Name’.
CEAC IV Form DS-260
19
Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Answered ‘No’ to the question ‘Is your
spouse immigrating to the U.S. with you?’.
CEAC IV Form DS-260
20
Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Answered ‘Yes’ to the question ‘Is
your spouse immigrating to the U.S. with you?’.
CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Selected ‘Same as Present
Address’, ‘Same as Intended U.S. Address’, or ‘Do Not Know’ for ‘Spouse’s Address’ and ‘Not Employed’ for
‘Occupation’.
CEAC IV Form DS-260
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Family Information: Spouse Page
Displayed for applicants who indicate they are currently married or separated. Selected ‘Other (Specify Address)’
for ‘Spouse’s Address’ and ‘Other’ for ‘Occupation’.
CEAC IV Form DS-260
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Family Information: Previous Spouse Page
Displayed for all applicants. Answered ‘No’ to the question ‘Do you have any previous spouses?’.
CEAC IV Form DS-260
0
Family Information: Previous Spouse Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Do you have any previous spouses?’.
Answered ‘Other’ to the question ‘How was your marriage terminated?’.
CEAC IV Form DS-260
1
Family Information: Children Page
Displayed for all applicants. Answered ‘No’ to the question ‘Do you have any children?’.
CEAC IV Form DS-260
2
Family Information: Children Page
Displayed for all applicants. Answered ‘Yes’ to all questions.
CEAC IV Form DS-260
3
Family Information: Children Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Do you have any children?’. Answered ‘No’ to
the question ‘Is this child immigrating to the U.S. with you?’.
CEAC IV Form DS-260
4
Previous U.S. Travel Information Page
Displayed for all applicants. All questions are answered ‘No’.
CEAC IV Form DS-260
5
Previous U.S. Travel Information Page
Displayed for all applicants. All questions are answered ‘Yes’.
CEAC IV Form DS-260
6
Present Work/Education/Training Information Page
Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is
‘Agriculture’, ‘Business’, ‘Communications’, ‘Computer Science’, ‘Culinary/Food Services’, ‘Education’, ‘Engineering’,
‘Government’, ‘Homemaker’, ‘Legal Profession’, ‘Medical/Health’, ‘Military’, ‘Natural Science’, ‘Physical Sciences’,
‘Religious Vocation’, ‘Research’, ‘Social Science’, or ‘Student’.
CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is ‘Other’.
CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is ‘Not
Employed’.
CEAC IV Form DS-260
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Present Work/Education/Training Information Page
Displayed for all applicants. Primary Occupation and ‘In which occupation do you intend to work in the U.S.?’ is
‘Homemaker’ or ‘Retired’.
CEAC IV Form DS-260
10
Previous Work/Education/Training Information Page
Displayed for all applicants. The answer to both questions is ‘No’.
CEAC IV Form DS-260
11
Previous Work/Education/Training Information Page
Displayed for all applicants whose ‘Nationality’ is not ‘Afghanistan’ or ‘Iraq’. The answer to both questions is ‘Yes’.
CEAC IV Form DS-260
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Previous Work/Education/Training Information Page
Displayed for all applicants who selected ‘Afghanistan’ for ‘Nationality’. The answer to both questions is ‘Yes’.
CEAC IV Form DS-260
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Previous Work/Education/Training Information Page
Displayed for all applicants who selected ‘Iraq’ for ‘Nationality’. The answer to both questions is ‘Yes’.
CEAC IV Form DS-260
14
Additional Work/Education/Training Information Page
Displayed for all applicants who did not select ‘Afghanistan’ or ‘Iraq’ for ‘Nationality’. Answers to questions are
‘No’.
CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who selected ‘Afghanistan’ for ‘Nationality’. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who selected ‘Iraq’ for ‘Nationality’. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who did not select ‘Afghanistan’ or ‘Iraq’ for ‘Nationality’. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who selected ‘Afghanistan’ for ‘Nationality’. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Additional Work/Education/Training Information Page
Displayed for all applicants who selected ‘Iraq’ for ‘Nationality’. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Petitioner Information Page
Displayed for all applicants. Answered ‘Father/Stepfather’, ‘Mother/Stepmother’, ‘Brother’, ‘Sister’, ‘Spouse’, or
‘Child’ to the question ‘Petitioner is my’.
CEAC IV Form DS-260
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Petitioner Information Page
Displayed for all applicants. Answered ‘Employer’ to the question ‘Petitioner is my’.
CEAC IV Form DS-260
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Petitioner Information Page
Displayed for all applicants. Answered ‘Self’ to the question ‘Petitioner is my’.
CEAC IV Form DS-260
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Security and Background: Medical and Health
Information Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
0
Security and Background: Medical and Health
Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
1
Security and Background: Criminal Information Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
2
Security and Background: Criminal Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
3
Security and Background: Security Information 1 Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Security and Background: Security Information 1 Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Security and Background: Security Information 2 Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Security and Background: Security Information 2 Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 1 Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Security and Background: Immigration Law Violation
Information 2 Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
10
Security and Background: Immigration Law Violation
Information 2 Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Security and Background: Miscellaneous Information 1
Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Security and Background: Miscellaneous Information 1
Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Security and Background: Miscellaneous Information 2
Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Security and Background: Miscellaneous Information 2
Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Social Security Number Information Page
Displayed for all applicants. Answers to questions are ‘No’.
CEAC IV Form DS-260
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Social Security Number Information Page
Displayed for all applicants. Answers to questions are ‘Yes’.
CEAC IV Form DS-260
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Social Security Number Information Page
Displayed for all applicants. Answers to the first three questions are ‘Yes’ with the last question answered ‘No’.
CEAC IV Form DS-260
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Sign and Submit Page
Displayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.
CEAC IV Form DS-260
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Sign and Submit Page
Displayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this application?’.
CEAC IV Form DS-260
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Copyright Page – Immigrant Visa and Alien
Registration Application
CEAC IV Form DS-260
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Disclaimer Page – Immigrant Visa and Alien
Registration Application
CEAC IV Form DS-260
22
Paperwork Reduction Act Page – Immigrant Visa and
Alien Registration Application
CEAC IV Form DS-260
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| File Type | application/pdf |
| File Title | Slide 1 |
| Author | Department of State |
| File Modified | 2012-05-21 |
| File Created | 2012-05-21 |