Information Collection

JADE Act Questionnaire

IC 240716 under ICR 202003-1405-003 · OMB 1405-0236.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0236 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-5537 JADE Act Questionnaire	Form
DS-5537 JADE Act Questionnaire DS-5537 Draft 10-22-2018.pdf	Form

IC Title:

JADE Act Questionnaire

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-5537	JADE Act Questionnaire	DS-5537 Draft 10-22-2018.pdf		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20,500

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	20,500	20,500
Annual IC Time Burden (Hours)	10,250	10,250
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.