Information Collection

Outstanding Americans by Choice Nominee Questionnaire

IC 258581 under ICR 202302-1615-001 · OMB 1615-0158.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-1579 Outstanding Americans by Choice Nominee Questionnaire	Form
G-1579-001-INST-NEW-OMBReview-02082023.pdf	Instruction
G-1579-001-INST-NEW-OMBReview-02082023.pdf	Instruction
G-1579 Outstanding Americans by Choice Nominee Questionnaire G-1579-001-FRM-NEW-OMBReview-02082023.pdf	Form
G-1579 Outstanding Americans by Choice Nominee Questionnaire G-1579-001-FRM-NEW-OMBReview-02082023.pdf	Form
G-1579A Outstanding Americans by Choice Supplemental Questionnai G-1579A-001-FRM-Supp-NEW-OMBReview-02082023.pdf	Form
G-1579A Outstanding Americans by Choice Supplemental Questionnai G-1579A-001-FRM-Supp-NEW-OMBReview-02082023.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Outstanding Americans by Choice Nominee Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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?	Electronic Capability
Form	G-1579	Outstanding Americans by Choice Nominee Questionnaire	G-1579-001-FRM-NEW-OMBReview-02082023.pdf	No	Paper Only
Instruction			G-1579-001-INST-NEW-OMBReview-02082023.pdf	No	Paper Only
Form	G-1579A	Outstanding Americans by Choice Supplemental Questionnaire	G-1579A-001-FRM-Supp-NEW-OMBReview-02082023.pdf	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Department of Homeland Security (DHS) Mailing and Other Lists System, which covers information contained in the DHS General Contact Lists system.

FR Citation: 73 FR 71659

Number of Respondents: 200

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	200	200
Annual IC Time Burden (Hours)	100	100
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.