Citizenship Ambassador Nominee Questionnaire

Outstanding Americans by Choice Nominee Questionnaire and Citizenship Ambassador Nominee Questionnaire

Documents and Forms

Document Name Document Type
Form G-1580 Citizenship Ambassador Nominee Questionnaire Form
G-1580-001-INST-NEW-60Day-09122022.pdf Instruction
G-1580-001-INST-NEW-60Day-09122022.pdf Instruction
G-1580 Citizenship Ambassadors Nominee Questionnaire G-1580-001-FRM-NEW-60Day-09122022.pdf Form
G-1580 Citizenship Ambassadors Nominee Questionnaire G-1580-001-FRM-NEW-60Day-09122022.pdf Form

Information Collection (IC) Details

IC Title:	Citizenship Ambassador Nominee Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-1580	Citizenship Ambassadors Nominee Questionnaire	G-1580-001-FRM-NEW-60Day-09122022.pdf		No		Paper Only
Instruction			G-1580-001-INST-NEW-60Day-09122022.pdf		No		Paper Only

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 %

	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

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.