OMB control number
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 · DOJ/LA.
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 is listed under ICR 201911-1105-002.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 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All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201911-1105-002 | Extension without change of a currently approved collection | 2019-11-26 | Approved without change | |
| 201602-1105-001 | Extension without change of a currently approved collection | 2016-09-19 | Approved without change | |
| 201309-1105-001 | New collection (Request for a new OMB Control Number) | 2013-09-10 | Approved without change |