Information Collection Request
Evacuee Manifest and Promissory Note
ICR 202404-1405-001 · OMB 1405-0211 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0211 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-5528 Evacuee Manifest and Promissory Note |
Form and Instruction | New | Repair queued |
| Form DS-5528 Evacuee Manifest and Promissory Note |
Form and Instruction | Unchanged | Repair queued |
 5528 langauge.docx |
Supplementary Document | Uploaded 2024-04-15 | Repair queued |
| 2024 04 04 Answers to OIRA 2020 Questions DS 5528 Supporting Statement.docx |
Supplementary Document | Uploaded 2024-04-15 | Repair queued |
| Justification for Non substantive Change.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2019-06-26 | Repair queued |
| DS-5528 .docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2018-07-11 | Repair queued |
| 2024 04 04 Supporting Statement Updated.docx |
Supporting Statement A | Uploaded 2024-04-15 | Repair queued |
| Final Legal Authorities DS-5528.docx |
Supplementary Document | Uploaded 2017-05-05 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 266921 |  Evacuee Manifest and Promissory Note |
Form and Instruction | New | |
| 206882 | Evacuee Manifest and Promissory Note |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | STATE/AFA |
| OMB Control No | 1405-0211 |
| Type of Information Collection | Reinstatement without change of a previously approved collection |
| Previous ICR Reference No | 201906-1405-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |