Information Collection

INTERNational Connections

IC 191264 under ICR 201603-1405-002 · OMB 1405-0190.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-5103 INTERNational Connections	Form and Instruction
DS-5103 INTERNational Connections PRA IC front page 1.pdf	Form and Instruction
DS-5103 INTERNational Connections IC 30 Day PRA Register 2.pdf	Form and Instruction
DS-5103 INTERNational Connections PRA IC About Me 3.pdf	Form and Instruction
DS-5103 INTERNational Connections PRA IC Personal Information 4.pdf	Form and Instruction
DS-5103 INTERNational Connections PRA IC Career Overview 5.pdf	Form and Instruction
DS-5103 INTERNational Connections PRA IC Privacy 6.pdf	Form and Instruction
DS-5103 INTERNational PRA IC 7.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 5 CFR 362.201 5 CFR Part 362 Subpart B (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-5103	INTERNational Connections	PRA IC About Me 3.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational Connections	PRA IC Personal Information 4.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational Connections	PRA IC Career Overview 5.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational Connections	PRA IC Privacy 6.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational	PRA IC 7.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational Connections	PRA IC front page 1.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-5103	INTERNational Connections	IC 30 Day PRA Register 2.pdf	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	250	-250	500
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.