Application For Replacement Plates

Foreign Diplomatic Services Applications (FDSA)

Documents and Forms

Document Name Document Type
Form DS-104 APPLICATION FOR REPLACEMENT PLATES Form and Instruction
DS-104 APPLICATION FOR REPLACEMENT PLATES ds104 - DRAFT - 11-21-2017.pdf Form and Instruction
DS-104 Replacement Plates (eGov) DS-104 Replacement Plates eGov.docx Form

Information Collection (IC) Details

IC Title:	APPLICATION FOR REPLACEMENT PLATES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-104	APPLICATION FOR REPLACEMENT PLATES	ds104 - DRAFT - 11-21-2017.pdf		No		Paper Only
Form	DS-104	Replacement Plates (eGov)	DS-104 Replacement Plates eGov.docx		Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 216	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	216	216
Annual IC Time Burden (Hours)	54	54
Annual IC Cost Burden (Dollars)	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.