Information Collection

Application under the Hague Convention on the Civil Aspects of International Child Abduction

IC 43818 under ICR 202004-1405-001 · OMB 1405-0076.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0076 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-3013 Application under the Hague Convention on the Civil Aspects of International Child Abduction	Form and Instruction
DS-3013 APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPE DS-3013.pdf	Form and Instruction
DS-3013 S APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPE DS-3013 S.pdf	Form and Instruction
DS-3013-P APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPE ds3013_p_flat.pdf	Form and Instruction
Justification for 1405-0076.docx Justification for Non-substantive	IC Document

IC Title:

Application under the Hague Convention on the Civil Aspects of International Child Abduction

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

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
Form and Instruction	DS-3013	APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPECTS OF INTERNATIONAL CHILD ABDUCTION	DS-3013.pdf	Yes	Yes	Fillable Printable
Form and Instruction	DS-3013 S	APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPECTS OF INTERNATIONAL CHILD ABDUCTION	DS-3013 S.pdf	Yes	Yes	Fillable Printable
Form and Instruction	DS-3013-P	APPLICATION UNDER THE HAGUE CONVENTION ON THE CIVIL ASPECTS OF INTERNATIONAL CHILD ABDUCTION	ds3013_p_flat.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: 565

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	Previously Approved
Annual Number of Responses for this IC	565	565
Annual IC Time Burden (Hours)	565	565
Annual IC Cost Burden (Dollars)	16,950	16,950

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Non-substantive	Justification for 1405-0076.docx	04/22/2020

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.