Claims of U.S. Nationals Referred to the Commission by the Department of State Pursuant to the International Claims Settlement Act of 1949, as Amended

OMB 1105-0100

Information will be used as a basis for the Commission's examination and adjudication of claims made pursuant to Referrals to the Commission, made by the Department of State pursuant to 22 U.S.C. 1621 et seq., of certain claims of U.S. Nationals.

The latest form for Claims of U.S. Nationals Referred to the Commission by the Department of State Pursuant to the International Claims Settlement Act of 1949, as Amended expires 2023-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Claims of U.S. Nationals Referred to the Commission by the Department of State Pursuant to the International Claims Settlement Act of 1949, as Amended Form and Instruction
1105-0100_OMB-83I Final_091916.pdf Supplementary Document
Attachment A - 22 USC 1623_082813.doc Supplementary Document
1105-0100 SS Part A_081816.doc Supporting Statement A
Claims of U.S. Nationals Referred to the Commission by the Department of State Pursuant to the International Claims Settlement Act of 1949, as Amended Form and Instruction

All Historical Document Collections

201911-1105-002 Approved without change	Extension without change of a currently approved collection	2019-11-26
201602-1105-001 Approved without change	Extension without change of a currently approved collection	2016-09-19
201309-1105-001 Approved without change	New collection (Request for a new OMB Control Number)	2013-09-10