Information Collection

Contact Information and Work History for Nonimmigrant Visa Applicant

IC 43819 under ICR 201207-1405-003 · OMB 1405-0144.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0144 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-158 Contact Information and Work History for Nonimmigrant Visa Applicant	Form and Instruction
DS-158 Contact Information and Work History for Nonimmigrant Vi DS-158 6-2012.pdf	Form and Instruction

IC Title:

Contact Information and Work History for Nonimmigrant Visa Applicant

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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-158	Contact Information and Work History for Nonimmigrant Visa Applicant	DS-158 6-2012.pdf		Yes	No	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,000

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	10,000	-690,000	700,000
Annual IC Time Burden (Hours)	10,000	-690,000	700,000
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.