Visa Fraud Reporting Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Report Visa Fraud Form	Form and Instruction	New	Available
Letter to OIRA - Visa Tip Emergency ICR.pdf	Supplementary Document	Uploaded 2026-09-17	Available
Legal Authorities final.docx	Supplementary Document	Uploaded 2026-09-17	Available
Supporting Statement final.docx	Supporting Statement A	Uploaded 2026-09-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
282483	Report Visa Fraud Form	Form and Instruction	New	Report Visa Fraud Form

ICR Details

OMB Control No: 1405-0268	ICR Reference No: 202609-1405-005
Status: Active	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Visa Fraud Reporting Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/17/2026
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/17/2026
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/17/2026
Terms of Clearance: In response to the emergency request memorandum submitted by the Department of State, OIRA is approving this collection for 6 months. Prior to the expiration of this emergency approval, the Department shall undertake standard notice and comment procedures and describe in its next ICR submission all comments received and the extent to which commenters' recommendations were adopted.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	6 Months From Approved
Responses	100,000	0	0
Time Burden (Hours)	25,000	0	0
Cost Burden (Dollars)	3,677,000	0	0

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Abstract: The Visa Fraud Reporting Form allows members of the public to report suspected visa fraud or misuse directly to the Bureau of Consular Affairs for investigation and, where warranted, immediate action, including visa revocation under the Secretary of State's exclusive authority.

Emergency Justfication: No dedicated reporting channel currently exists, and that gap has immediate national security consequences. The Immigration and Nationality Act renders inadmissible any alien who has procured, or sought to procure, a visa by fraud or willful misrepresentation of a material fact [INA § 212(a)(6)(C), 8 U.S.C. § 1182(a)(6)(C)], and vests in the Secretary of State the exclusive, non-reviewable authority to revoke a visa at any time, in his discretion [8 U.S.C. § 1201(i)]. That authority is only as effective as the information available to exercise it, and the public currently has no purpose-built way to deliver that information to the office with authority to act on it. Standing up this form is direct implementation of the President's border security and visa integrity directives, not a discretionary process improvement that can await routine clearance.

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Authorizing Statute(s): US Code: 22 USC 2651a Name of Law: Basic Authorities Act
   US Code: 8 USC 1101 et seq Name of Law: INA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Report Visa Fraud Form	None	Report Visa Fraud Form

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	100,000	0	0	100,000	0	0
Annual Time Burden (Hours)	25,000	0	0	25,000	0	0
Annual Cost Burden (Dollars)	3,677,000	0	0	3,677,000	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New collection

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Annual Cost to Federal Government:

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/17/2026

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