Electronic Diversity Visa Entry Form

ICR 202508-1405-004

OMB: 1405-0153

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2022-05-23
Justification for No Material/Nonsubstantive Change
2017-07-25
Supplementary Document
2016-08-03
Supporting Statement A
2025-08-05
IC Document Collections
IC ID
Document
Title
Status
15041 Modified
ICR Details
1405-0153 202508-1405-004
Received in OIRA 202205-1405-001
STATE/AFA
Electronic Diversity Visa Entry Form
Revision of a currently approved collection   No
Regular 08/05/2025
  Requested Previously Approved
36 Months From Approved 08/31/2025
25,000,000 11,072,400
22,833,333 5,536,200
125,000,000 55,362,000

The DS-5501 collection is necessary because the Department requires certain information to verify eligibility of aliens who enter the Diversity Visa program. Immigration and Nationality Act (“INA”) Section 203(c) [8 U.S.C. § 1153(c)], provides for a class of immigrants known as “diversity immigrants” from countries with historically low rates of immigration to the United States. Pursuant to INA section 204(a)(1)(I) [8 U.S.C. § 1154(a)(1)(I)], all aliens seeking diversity immigrant status must submit a petition (the DS-5501) but may apply for a diversity visa only if randomly selected in the diversity visa lottery and only during the specific fiscal year for which they were selected. The Secretary of State is authorized to establish, through regulations, the information that must be included in the petition and any documentary evidence required to support the petition. Accordingly, 22 CFR § 42.33(b) outlines the specific information that must be included in the petition as well as documentation required to support the petition.

US Code: 8 USC 1201 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1153 Name of Law: Immigration and Nationality Act
  
None

1400-AF76 Proposed rulemaking 90 FR 37437 08/05/2025

  90 FR 12281 04/16/2025
90 FR 12281 08/05/2025
No

1
IC Title Form No. Form Name
Electronic Diversity Visa Entry Form DS-5501 Electronic Diversity Visa Entry Lottery 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 25,000,000 11,072,400 0 13,927,600 0 0
Annual Time Burden (Hours) 22,833,333 5,536,200 0 17,297,133 0 0
Annual Cost Burden (Dollars) 125,000,000 55,362,000 0 69,638,000 0 0
Yes
Changing Regulations
No
The expected amount of time respondents will take to complete the DS-5501 is an estimated 50 minutes per response. If we multiply this by 25 million (the annual estimate for submissions), we calculate a total hour time burden of 22,833,333 hours and 20 minutes.

$95,000,000
No
    Yes
    No
No
No
No
No
Anabel Moreno-Mendez 571 720-4400

  No

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.
08/05/2025


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