Information Collection

Application For Ofm Website Account

IC 214067 under ICR 201803-1405-007 · OMB 1405-0105.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-4140 APPLICATION FOR OFM WEBSITE ACCOUNT	Form
DS-4140 APPLICATION FOR OFM WEBSITE ACCOUNT ds4140 - DRAFT - 12-05-2017.pdf	Form

IC Title:

APPLICATION FOR OFM WEBSITE ACCOUNT

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	DS-4140	APPLICATION FOR OFM WEBSITE ACCOUNT	ds4140 - DRAFT - 12-05-2017.pdf		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 949

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	949	449	500
Annual IC Time Burden (Hours)	158	75	83
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.