Information Collection

Request for Department of State Personal Identification Card

IC 235264 under ICR 201903-1405-001 · OMB 1405-0232.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0232 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ABR - OMB-PRA.PDF	Other-Application
ABR screenshot.png	Other-Application
ABR screenshot 2.png	Other-Application
Request for Person DS-1838 DS-1838 with OMB-PRA.pdf	Form and Instruction
DS-7783 Overseas One Badge Application ds-7783.pdf	Form and Instruction

IC Title:

Request for Department of State Personal Identification Card

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

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
Other-Application			ABR - OMB-PRA.PDF	Yes	Yes	Fillable Fileable
Other-Application			ABR screenshot.png	Yes	Yes	Fillable Fileable
Other-Application			ABR screenshot 2.png	Yes	Yes	Fillable Fileable
Form and Instruction	Request for Personal Identification Card	DS-1838	DS-1838 with OMB-PRA.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	DS-7783	Overseas One Badge Application	ds-7783.pdf	Yes	Yes	Fillable Fileable

Line of Business: Law Enforcement

Subfunction: Property Protection

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,500

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	13,500	13,500
Annual IC Time Burden (Hours)	1,125	1,125
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.