Information Collection

Exhibit B to Registration Statement (Foreign Agents)

IC 12661 under ICR 202005-1124-003 · OMB 1124-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1124-0004 can be found here:

Documents and Forms

Document Name Document Type
Form NSD-4 Exhibit B to Registration Statement (Foreign Agents) Form and Instruction
NSD-4 Exhibit B to Registration Statement (Foreign Agents) OMB_1124_0004.pdf www.fara.gov Form and Instruction
NSD-4 Webform OMB 1124 0004 Change Request Webform_OMB_1124_0004_Change_Request_June_20_2019.pdf www.justice.gov/nsd-fara Form and Instruction
NSD-4 Webform Exhibit B to Registration Statement Webform_OMB_1124_0004_Exhibit_B_May_2020.pdf www.justice.gov/nsd-fara Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Exhibit B to Registration Statement (Foreign Agents)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 28 CFR 5

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	NSD-4	Exhibit B to Registration Statement (Foreign Agents)	OMB_1124_0004.pdf	https://www.fara.gov	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NSD-4	Webform OMB 1124 0004 Change Request	Webform_OMB_1124_0004_Change_Request_June_20_2019.pdf	https://www.justice.gov/nsd-fara	Yes	Yes	Fillable Fileable Signable
Form and Instruction	NSD-4	Webform Exhibit B to Registration Statement	Webform_OMB_1124_0004_Exhibit_B_May_2020.pdf	https://www.justice.gov/nsd-fara	Yes	Yes	Fillable Fileable Signable

Line of Business: Intelligence Operations

Subfunction: Intelligence Collection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 296	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	296	118	178
Annual IC Time Burden (Hours)	95	36	59
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.