Information Collection Request
ELIGIBILITY QUESTIONNAIRE FOR HAVANA ACT PAYMENTS-FBI
ICR 202304-1110-001CF · OMB 1405-0250 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0250 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-4316 Eligibility Questionnaire For HAVANA Act Payments |
Form and Instruction | New | Available |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 259681 |  Eligibility Questionnaire For HAVANA Act Payments |
Form and Instruction | New |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | DOJ/FBI |
| OMB Control No | 1405-0250 |
| Type of Information Collection | RCF New |
| Date Submitted to OIRA | 2023-04-13 |
| Requested Expiration Date | 1969-12-31 |