Application For Replacement Plates

Foreign Diplomatic Services Applications (FDSA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0105 can be found here:

Documents and Forms

Document Name Document Type
Form DS-104 APPLICATION FOR REPLACEMENT PLATES Form and Instruction
DS-104 APPLICATION FOR REPLACEMENT PLATES ds104 - DRAFT - 11-21-2017.pdf Form and Instruction
DS-104 Replacement Plates (eGov) DS-104 Replacement Plates eGov.docx Form

Information Collection (IC) Details

IC Title:	APPLICATION FOR REPLACEMENT PLATES	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-104	APPLICATION FOR REPLACEMENT PLATES	ds104 - DRAFT - 11-21-2017.pdf		No		Paper Only
Form	DS-104	Replacement Plates (eGov)	DS-104 Replacement Plates eGov.docx		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: 216	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	216	55	161
Annual IC Time Burden (Hours)	54	14	40
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.