Information Collection

Request By Non-pidded Persons For Non-eligibility Letter

IC 230799 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⚠️ Notice: This information collection may be referencing outdated material.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-4298 REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER	Form
DS-4298 REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER ds4298 - DRAFT - 03-10-2018.pdf	Form
DS-4298 REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER DS-4298 Non-El Letter T3 pages.docx	Form

IC Title:

REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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-4298	REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER	ds4298 - DRAFT - 03-10-2018.pdf		Yes	No	Paper Only
Form	DS-4298	REQUEST BY NON-PIDDED PERSONS FOR NON-ELIGIBILITY LETTER (eGov)	DS-4298 Non-El Letter T3 pages.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: 11,071

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
Annual Number of Responses for this IC	11,071	11,071
Annual IC Time Burden (Hours)	2,768	2,768
Annual IC Cost Burden (Dollars)	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.