OMB control number
Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form
OMB 1405-0260 · STATE/AFA.
OMB 1405-0260
This collection is related to the Memorandum of Understanding (MOU) between the United States and the Government of Israel (GOI) on the Extension of Reciprocal Privileges and the Visa Waiver Program, and is for the purposes of monitoring the GOI’s implementation of its commitments in the MOU to treat all U.S. citizens seeking to enter Israel without regard to national origin, religion or ethnicity.
The latest form for Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form expires 2027-10-31 and is listed under ICR 202407-1405-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form | Form and Instruction |
| Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form | Form and Instruction |
 LegalAuthorities - FINAL.pdf | Supplementary Document |
| Justification for Emergency Review - OMB - Border Crossing Survey_signed.docx | Supplementary Document |
| LegalAuthorities - OMB - Border Crossing Survey.docx | Supplementary Document |
| Supporting-Statement_30 Day_Border Crossing Survey FINAL.docx | Supporting Statement A |
 Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form |
Form and Instruction |
| Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202407-1405-001 | Reinstatement without change of a previously approved collection | 2024-07-10 | ||
| 202309-1405-002 | New collection (Request for a new OMB Control Number) | 2023-09-12 | Approved without change |
OMB Details
Border Crossing Survey – U.S. Embassy Jerusalem Reporting Form
Federal Enterprise Architecture: Homeland Security - Border and Transportation Security
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form NA | U.S. Embassy Jerusalem Incident Reporting Form | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.