Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form

ICR 202309-1405-002

OMB: 1405-0260

Federal Form Document

IC Document Collections
ICR Details
Received in OIRA
Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form
New collection (Request for a new OMB Control Number)   No
Emergency 09/18/2023
  Requested Previously Approved
6 Months From Approved
3,293 0
1,098 0
0 0

This collection is related to the Memorandum of Understanding (MOU) between the United States and the Government of Israel (GOI) on the Extension of Reciprocal Privileges and the Visa Waiver Program, and is for the purposes of monitoring the GOI’s implementation of its commitments in the MOU to treat all U.S. citizens seeking to enter Israel without regard to national origin, religion or ethnicity.
On July 18, the Government of Israel notified the U.S. government that it planned to announce new travel requirements on July 19, and that they would go into effect on July 20. As there was only two days' notice, the Department was unable to engage in a public comment period to solicit input on the survey.

US Code: 8 USC 1101 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1104 Name of Law: Powers and Duties of Secretary of State

Not associated with rulemaking


IC Title Form No. Form Name
Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form NA U.S. Embassy Jerusalem Incident Reporting Form

  Total Request 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 3,293 0 0 3,293 0 0
Annual Time Burden (Hours) 1,098 0 0 1,098 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Miscellaneous Actions
See supporting statement.

Niki Enright 843 619-1260


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:
    (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;
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.

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