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Form DS-4079 Questionnaire - Loss of United States Nationality; Attes
Questionnaire - Loss of United States Nationality; Attestations
DS-4079
Questionnaire - Loss of United States Nationality; Attestations
OMB: 1405-0178
OMB.report
STATE/AFA
OMB 1405-0178
ICR 202503-1405-007
IC 181472
Form DS-4079 Questionnaire - Loss of United States Nationality; Attes
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1405-0178 can be found here:
2025-04-22 - No material or nonsubstantive change to a currently approved collection
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