Supplemental Questions for Visa Applicants

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-5535 SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS	Form	Unchanged	Available
Form DS-5535 SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS	Form	Unchanged	Repair queued
Tab 4 – DS-5535 e-version.pdf	Supplementary Document	Uploaded 2021-05-11	Available
Legal Authorities.docx	Supplementary Document	Uploaded 2021-02-08	Available
Legal Authorities.docx	Supplementary Document	Uploaded 2021-02-08	Repair queued
30-Day Supporting Statement DS-5535_Final_1405-0226.docx	Supporting Statement A	Uploaded 2021-05-11	Available
30-Day Supporting Statement DS-5535.docx	Supporting Statement A	Uploaded 2021-02-08	Repair queued
Legal Authorities.docx	Supplementary Document	Uploaded 2017-11-29	Available
Legal Authorities.docx	Supplementary Document	Uploaded 2017-11-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
226719	SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS	Form	Unchanged	SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS
226719	SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS	Form	Unchanged

ICR Details

OMB Control No: 1405-0226	ICR Reference No: 202102-1405-001
Status: Active	Previous ICR Reference No: 201711-1405-006
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Supplemental Questions for Visa Applicants
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/11/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/08/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2024	36 Months From Approved	05/31/2021
Responses	70,500	0	70,500
Time Burden (Hours)	70,500	0	70,500
Cost Burden (Dollars)	0	0	0

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Abstract: The Department proposes requesting the following information, if not already included in an application, from a subset of visa applicants worldwide, in order to more rigorously evaluate applicants for terrorism or other national security-related visa ineligibilities.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 67088	10/21/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 8475	02/05/2021
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS	DS-5535	SUPPLEMENTAL QUESTIONS FOR VISA APPLICANTS

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	70,500	70,500	0	0	0	0
Annual Time Burden (Hours)	70,500	70,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,062,500

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Yes

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Yes

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/08/2021

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