OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Employment as a Locally Employed Staff or Family Member

OMB 1405-0189 · STATE/AFA.

OMB 1405-0189

The information solicited is used to establish eligibility and qualifications at U.S. Embassies, Consulates, and Missions abroad. The respondents are locals who live in the 175 countries abroad and who are applying for a position at the U.S. Embassy, Consulate or Mission in their country. In addition, Family members who are accompanying their partners to assignments in the U.S. Embassies, Consulates or Mission abroad.

The latest form for Application for Employment as a Locally Employed Staff or Family Member expires 2026-07-31 and is listed under ICR 202202-1405-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form DS-174 Employment Application for Locally Employed Staff or Family MemberForm and Instruction
Form DS-174 Application for Employment as a Locally Employed Staff or Family MemberForm and Instruction
LegalAuthorities_112025.docxSupplementary Document
LegalAuthorities_2022.docxSupplementary Document
Supporting-Statement_30day_112025.docxSupporting Statement A
Application for Employment as a Locally Employed Staff or Family Member Form and Instruction
Application for Employment as a Locally Employed Staff or Family Member Form and Instruction
Application for Employment as a Locally Employed Staff or Family Member Other-Screenshots

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202512-1405-001 Revision of a currently approved collection 2025-12-09
202202-1405-001 Extension without change of a currently approved collection 2022-02-11 Approved without change
201905-1405-008 Extension without change of a currently approved collection 2019-05-22 Approved with change
201710-1405-003 No material or nonsubstantive change to a currently approved collection 2017-10-23 Approved with change
201704-1405-003 No material or nonsubstantive change to a currently approved collection 2017-04-17 Approved with change
201603-1405-007 Revision of a currently approved collection 2016-03-31 Approved without change
201406-1405-004 No material or nonsubstantive change to a currently approved collection 2014-06-23 Approved without change
201212-1405-004 Revision of a currently approved collection 2012-12-26 Approved without change
200909-1405-003 New collection (Request for a new OMB Control Number) 2009-09-22 Approved without change