Change Requests

What is an ICR?

An Information Collection Request (ICR) is a federal agency's request for approval from the Office of Management and Budget (OMB) to collect information from the public. Under the Paperwork Reduction Act (PRA), agencies must justify why the information is needed and how it will be used.

When are they submitted?

Federal agencies are required to submit an ICR whenever they create, renew, modify an information collection. Each ICR includes a description of the collection, supporting materials and documentation (such as forms, surveys, or scripts), and proof that the agency has met the requirements of the PRA.

The ICR is submitted to the The Office of Information and Regulatory Affairs (OIRA) within OMB for review and approval. OIRA grants approval for a maximum of three years, after which the collection must be renewed through a new ICR submission.

Where to find an ICR?

ICRs are publicly available on RegInfo.gov, and additional guidance can be found in the FAQs.

Note: Presidential Action influences are notated for ICRs received between January 20, 2025 and July 19, 2025.

Showing 25 of 14787 results

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Reference Number
Title
Agency
Received
Concluded
Action
Status
Request Type
Presidential Action
OMB Control Number
202010-3170-001CF Request to use Common form 1557-0316 OCC Supplier Registration Form CFPB 2020-11-18 2020-12-14 Approved without change Active
RCF New
Request to use Common form 1557-0316 OCC Supplier Registration Form

Key Information

- 1557-0316
202008-0960-012 Statement Regarding Contributions SSA 2020-11-16 2024-07-22 Approved with change Active
Revision of a currently approved collection
Statement Regarding Contributions

Key Information

Previous ICR

201704-0960-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 416
42 USC 402

Abstract

SSA uses the SSA-783 to collect information regarding a child's current sources of support when determining the child's entitlement to Social Security benefits. We request this information from adults acting on behalf of the child claimants who can provide SSA with any sources of support or substantial contributions for the child. These adults inform the claims representative as part of the initial benefits process. If the individual capable of providing the information does not accompany the child claimant, we mail the SSA-783 to the individual for completion, or if the person has access to a computer, we will refer them to SSA's website. The respondents are individuals providing information about a child's sources of support.

- 0960-0020
202011-2050-002 Hazardous and Solid Waste Management System: Disposal of CCR; A Holistic Approach to Closure Part B: Alternate Demonstration for Unlined Surface Impoundments (Final Rule) EPA/OLEM 2020-11-16 2020-12-03 Approved without change Active
New collection (Request for a new OMB Control Number)
Hazardous and Solid Waste Management System: Disposal of CCR; A Holistic Approach to Closure Part B: Alternate Demonstration for Unlined Surface Impoundments (Final Rule)

Key Information

Previous ICR

202003-2050-001

Federal Register Notices

60-Day FRN

Authorizing Statutes

42 USC 6906, 6907, 6912, 6944, 6945

Abstract

On April 17, 2015, the Environmental Protection Agency (EPA or the Agency) promulgated national minimum criteria for existing and new coal combustion residuals (CCR) landfills and CCR surface impoundments. Following promulgation of this final rule, stakeholders have raised issues related to specific requirements of the final rule. On March 15, 2018, EPA proposed several changes to the 2015 CCR rule and on July 30, 2018, EPA finalized certain specific changes. In this action, EPA is proposing additional targeted changes to the 2015 CCR rule and is soliciting comment on other issues. The Agency is also proposing a rule that addresses two provisions of the final rule that were remanded back to EPA on August 21, 2018 by the U.S. Court of Appeals for the D.C. Circuit.

- 2050-0223
202007-1625-001 Waste Management Plans, Refuse Discharge Logs, and Letters of Instruction for Certain Persons-in-Charge (PIC) and Great Lakes Dry Cargo Residue Recordkeeping DHS/USCG 2020-11-10 2023-04-05 Approved with change Active
Revision of a currently approved collection
Waste Management Plans, Refuse Discharge Logs, and Letters of Instruction for Certain Persons-in-Charge (PIC) and Great Lakes Dry Cargo Residue Recordkeeping

Key Information

Previous ICR

201803-1625-007

Federal Register Notices

60-Day FRN

Authorizing Statutes

33 USC 1225
33 USC 1231
33 USC 1321
33 USC 1901-1909

Abstract

This information is needed to ensure that: (1) certain US vsls develop and maintain a waste plan; (2) certain US vsls maintain refuse discharge records; (3) certain individuals that act as fuel transfer PIC receive a letter of instruction for prevention of pollution; (4) certain Great Lakes vsls conduct dry cargo residue recordkeeping.

- 1625-0072
202010-1651-011 Guam CNMI Visa Waiver Information DHS/USCBP 2020-11-09 2023-07-24 Approved with change Active
Revision of a currently approved collection
Guam CNMI Visa Waiver Information

Key Information

Previous ICR

201809-1651-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 110 - 229 229

Abstract

Public Law 110-229 provides for certain aliens to be exempt from the nonimmigrant visa requirement if seeking entry into Guam or the Commonwealth of the Northern Mariana Islands (CNMI) as a visitor for a maximum stay of 45 days, provided that no potential threat exists to the welfare, safety, or security of the United States, or its territories, and other criteria are met. Upon arrival at the Guam or CNMI Ports-of-Entry, each applicant for admission presents a completed paper Form I-736 to CBP, which collects information about the applicant’s identity and travel documents. Several elements will be added to the Form I-736: the foreign passport type, social media identifier, valid email address, and social media provider/platform. Adding these data elements will enhance the existing vetting process and provide CBP additional information to determine travelers’ admissibility to enter Guam or the CNMI under the Guam-CNMI Visa Waiver Program. CBP intends to migrate from the paper Form I-736 process to a mandatory automated process via rulemaking.

- 1651-0109
202010-1651-012 Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release DHS/USCBP 2020-11-09 2022-08-17 Approved with change Historical Active
Extension without change of a currently approved collection
Entry and Manifest of Merchandise Free of Duty, Carrier's Certificate and Release

Key Information

Previous ICR

201901-1651-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

19 USC 1484
19 USC 1498
19 USC 1433

Abstract

CBP Form 7523, Entry and Manifest of Merchandise Free of Duty, Carrier’s Certificate of Release, is used by carriers and importers as a manifest for the entry of merchandise free of duty under certain conditions, such as when a shipment is valued at $2,500 or less. CBP Form 7523 is also used by carriers to show that articles being imported are to be released to the importer or consignee, and as an inward foreign manifest for vehicles or vessels, weighing less than five tons, arriving from Canada or Mexico, otherwise than by sea, with merchandise conditionally free of duty. CBP uses this form to authorize the entry of such merchandise. CBP Form 7523 is authorized by 19 USC 1433, 1484 and 1498. It is provided for by 19 CFR 123.4 and 19 CFR 143.23. This form is accessible at http://www.cbp.gov/newsroom/publications/forms?title=7523&=Apply.

- 1651-0013
202010-1651-013 Customs Regulations Pertaining to Customhouse Brokers DHS/USCBP 2020-11-09 2022-08-05 Approved with change Historical Active
Extension without change of a currently approved collection
Customs Regulations Pertaining to Customhouse Brokers

Key Information

Previous ICR

201707-1651-006

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

19 USC 1641

Abstract

The information contained in Part 111 of the CBP regulations (19 CFR) governs the licensing and conduct of customs brokers. An individual who wishes to take the broker exam must complete the electronic application CBP Form 3124E, “Application for Customs Broker License Exam,” or to apply for a broker license, CBP Form 3124, “Application for Customs Broker License.” The procedures to request a local or national broker permit can be found in 19 CFR 111.19, and a triennial report is required under 19 CFR 111.30. This information collected from customs brokers is provided for by 19 U.S.C. 1641. CBP Forms 3124 and 3124E may be found at http://www.cbp.gov/xp/cgov/toolbox/forms/. Further information about the customs broker exam and how to apply for it may be found at https://www.cbp.gov/trade/programs-administration/customs-brokers

- 1651-0034
202010-1651-008 Automated Clearinghouse DHS/USCBP 2020-11-09 2021-11-19 Approved without change Active
Extension without change of a currently approved collection
Automated Clearinghouse

Key Information

Previous ICR

201709-1651-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

19 USC 66
19 USC 58a-58c

Abstract

The Automated Clearinghouse (ACH) allows participants in the Automated Broker Interface (ABI) to transmit daily statements, deferred tax, and bill payments electronically through a financial institution directly to a CBP account. ACH debit allows the payer to exercise more control over the payment process. In order to participate in ACH debit, companies must complete CBP Form 400, ACH Application. Participants also use this form to notify CBP of changes to bank information or contact information. The ACH procedure is authorized by 19 U.S.C. 58a-58c and 19 U.S.C. 66, and provided for by 19 CFR 24.25. CBP Form 400 is accessible at https://www.cbp.gov/newsroom/publications/forms

- 1651-0078
202010-1651-004 Foreign Trade Zone, Reconciliation, Certification DHS/USCBP 2020-11-09 2022-03-24 Approved with change Historical Active
Extension without change of a currently approved collection
Foreign Trade Zone, Reconciliation, Certification

Key Information

Previous ICR

201707-1651-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

19 USC 81a-81u

Abstract

In accordance with 19 CFR 146.25 and 146.4, foreign trade zone (FTZ) operators are required to account for zone merchandise admitted, stored, manipulated and removed from FTZs. FTZ operators must prepare a reconciliation report within 90 days after the end of the zone year for a spot check or audit by CBP. In addition, within 10 working days after the annual reconciliation, FTZ operators must submit to the CBP port director a letter signed by the operator certifying that the annual reconciliation has been prepared, is available for CBP review, and is accurate. Foreign Trade Zones Act, as amended (Title 19 U.S.C. 81a-81u), authorizes these requirements.

- 1651-0051
202011-0960-002 Statement of Income and Resources SSA 2020-11-06 2023-10-10 Approved with change Active
Revision of a currently approved collection
Statement of Income and Resources

Key Information

Previous ICR

201702-0960-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 1382a-1382c
42 USC 1382
42 USC 1382j
42 USC 1383

Abstract

SSA uses Form SSA-8010-BK to collect income and resources information in Supplemental Security Income (SSI) claims and redeterminations. SSA uses the information to make initial or continuing eligibility determinations for SSI claimants/recipients who are subject to deeming. The respondents are persons whose income and resources SSA considers deemed to applicants or recipients of SSI payments.

- 0960-0124
202011-0960-003 Request for Evidence from Doctor or Hospital SSA 2020-11-06 2023-05-01 Approved with change Active
Revision of a currently approved collection
Request for Evidence from Doctor or Hospital

Key Information

Previous ICR

201703-0960-014

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 405
42 USC 423
42 USC 902

Abstract

Sections 223(d)(5) and 1614(a)(3)(H)(i) of the Social Security Act require claimants to furnish medical evidence of their disability when filing a disability claim. SSA uses Forms HA-66 and HA-67 to obtain medical evidence from medical sources identified by the claimants as having information relative to their impairments or ability to do work-related activities. In addition to accepting manual paper responses, SSA sends a barcode with the HA-66 and HA-67 allowing respondents to fax the information directly into the electronic claims folder rather than submitting it manually. SSA uses the information to determine eligibility for benefits. The respondents are medical sources, doctors, and hospitals that evaluate the claimants.

- 0960-0722
202007-0960-006 Medical Permit Parking Application SSA 2020-11-04 2023-07-20 Approved with change Active
Revision of a currently approved collection
Medical Permit Parking Application

Key Information

Previous ICR

201902-0960-005

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

40 USC 486(c)
Pub.L. 106 - 580 Sec. 205(c)

Abstract

SSA employees and contractors with a qualifying medical condition who park at SSA-owned and leased facilities may apply to receive a medical parking permit. SSA uses three forms for this program: (1) SSA-3192, the Application and Statement, which an individual completes when first applying for the medical parking space; (2) SSA-3193, the Physician's Report, which the applicant's physician completes to verify the medical condition; and (3) SSA-3194, Renewal Certification, which medical parking permit holders complete to verify their continued need for the permit. The respondents are SSA employees and contractors seeking medical parking permits, and their physicians. Note: Because SSA employees are Federal workers exempt from the requirements of the Paperwork Reduction Act, the burden below is only for SSA contractors and physicians (of both SSA employees and contractors).

- 0960-0624
202010-0570-001 Higher Blends Infrastructure Incentive Program (HBIIP) USDA/RBS 2020-10-30 2021-12-08 Approved without change Active
Revision of a currently approved collection
Higher Blends Infrastructure Incentive Program (HBIIP)

Key Information

Previous ICR

202003-0570-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

15 USC 714
62 Stat. 1070

Abstract

The Commodity Credit Corporation (CCC) and the Rural Business-Cooperative Service (RBCS), are announcing the availability of up to $100 million in competitive grants to eligible entities for activities designed to expand the sales and use of renewable fuels under the Higher Blends Infrastructure Incentive Program (HBIIP). Of the total amount of available funds, approximately $86 million will be made available for eligible implementation activities related to higher blends of fuel ethanol, such as E15 or higher, greater than 10 percent ethanol; and approximately $14 million will be made available for eligible implementation activities related to higher blends of biodiesel, such as B20 or higher, greater than 5 percent biodiesel. Cost-share grants of up to 50 percent of eligible project costs but not more than $5 million will be made available to assist transportation fueling and biodiesel distribution facilities. This information collection is needed for RBCS to identify eligible applicants seeking grant funds through the HBIIP and provide funding for FY 20.

- 0570-0072
202010-0596-003 Significant Cave Nominations Application USDA/FS 2020-10-30 2021-12-20 Approved with change Active
Revision of a currently approved collection
Significant Cave Nominations Application

Key Information

Previous ICR

201705-0596-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

16 USC 4303
Pub.L. 100 - 691 2

Abstract

Secretaries of Agriculture and Interior are required to identify and protect significant caves on Federal lands within their respective jurisdictions. This request covers only Federal lands managed by agencies within USDA, and includes criteria for determining whether or not a nominated cave is significant.

- 0596-0244
202010-0596-002 Non-Timber Forest Products USDA/FS 2020-10-30 2022-02-24 Approved without change Active
Revision of a currently approved collection
Non-Timber Forest Products

Key Information

Previous ICR

201703-0596-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 95 - 307 et, all
Pub.L. 86 - 517 et, all

Abstract

Non-Timber forest products are plants, mushrooms and plant or tree derived goods like nuts, boughs, sap, and leaves that are harvested for use as food, medicine and other purposes. The Forest Service is seeking approval to collect information from the public who harvest non-timber forest products.

- 0596-0243
202010-2060-006 NESHAP for Acrylic/Modacrylic Fibers Prod., Carbon Black Prod., Chemical Mfg: Chromium Compounds, Flexible Polyurethane Foam Production/Fabrication, Lead Acid Battery Mfg, Wood Preserving (Renewal) EPA/OAR 2020-10-30 2022-02-23 Approved without change Active
Extension without change of a currently approved collection
NESHAP for Acrylic/Modacrylic Fibers Prod., Carbon Black Prod., Chemical Mfg: Chromium Compounds, Flexible Polyurethane Foam Production/Fabrication, Lead Acid Battery Mfg, Wood Preserving (Renewal)

Key Information

Previous ICR

201611-2060-012

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

44 USC 3501 et seq

Abstract

EPA established NESHAP for seven area source categories. The requirements for two area source categories (Flexible Polyurethane Foam Production and Flexible Polyurethane Foam Fabrication) are combined in one Subpart. These standards include emissions limitations and work practice requirements for new and existing plants based on the generally-available control technology or management practices (GACT) for each area source category. Potential respondents include two existing acrylic and modacrylic production facility, one existing carbon black production plant, two existing chromium product manufacturing facilities, 500 existing flexible polyurethane foam production and fabrication facilities, 41 existing lead acid battery manufacturing facilities, and 393 existing wood preserving facilities. The total annual responses attributable to this ICR for existing sources are two one-time notifications; some existing facilities may be required to prepare a startup, shutdown, and malfunction plan, perform additional monitoring and recordkeeping, and/or conduct an initial performance test. The owner or operator of a new area source would be required to comply with all requirements of the General Provisions (40 CFR Part 63, Subpart A).

- 2060-0598
202010-2060-005 National Emission Standards for Hazardous Air Pollutants (NESHAP) from Manufacturing of Nutritional Yeast (40 CFR Part 60, CCCC) (Renewal) EPA/OAR 2020-10-30 2022-02-23 Approved without change Active
Extension without change of a currently approved collection
National Emission Standards for Hazardous Air Pollutants (NESHAP) from Manufacturing of Nutritional Yeast (40 CFR Part 60, CCCC) (Renewal)

Key Information

Previous ICR

201711-2060-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

44 USC 3501 et seq

Abstract

This supporting statement addresses information collection activities that will be imposed by amendments to the National Emission Standards for Hazardous Air Pollutants (NESHAP) from Manufacturing of Nutritional Yeast, 40 CFR part 63, subpart CCCC, referred to in this document as the Nutritional Yeast NESHAP. In 2001, the U.S. Environmental Protection Agency (EPA) promulgated national emission standards for hazardous air pollutants for new and existing nutritional yeast production facilities under 40 CFR part 63, subpart CCCC (66 FR 27876, May 21, 2001). Amendments to the NESHAP and a Risk and Technology Review were proposed on December 28, 2016 and promulgated on October 16, 2017. This rule applies to facilities where the total hazardous air pollutants (HAP) emitted are greater than or equal to 10 tons per year of any single HAP, or where the total HAP emitted are greater than or equal to 25 tons per year of any combination of HAP. The Nutritional Yeast NESHAP sets emission limits for fermenter operations at nutritional yeast manufacturing facilities. This information is being collected to assure compliance with 40 CFR part 63, subpart CCCC. This ICR renewal reflects changes in burden following implementation of the 2017 final rule amendments, as the standard has been in effect for more than three years.

- 2060-0719
202009-2120-005 Service Difficulty Report DOT/FAA 2020-10-28 2022-03-28 Approved with change Active
Extension without change of a currently approved collection
Service Difficulty Report

Key Information

Previous ICR

201706-2120-003

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

49 USC 44701

Abstract

FAA Form 8070-1, Service Difficulty Report (SDR), may be used by the air carrier industry and repair stations to submit mandated reporting of occurrences or detection of failures, malfunctions, or defects. As described in 14 CFR 121.703(e), these submitters may use another method that is suitable to their management system, provided that system is acceptable to the Administrator and contains mandated information. Service difficulty information may also be submitted in an electronic format. Repair stations certificated under Part 145 and Air taxi operators certificated under Part 135 are required to submit Malfunction or Defect Reports, or Service Difficulty Reports. FAA Form 8010-4, Malfunction and Defect Report may be used by the general aviation public to submit voluntary reporting of occurrences or detection of failure, malfunctions, or defects. General Aviation is the largest user of the Form 8010-4. Report information is collected, collated by the FAA, and used to determine service performance of aeronautical products. When defects are reported which are likely to exist on other products of the same or similar design, the FAA may disseminate safety information to a particular section of the aviation community. The FAA also may adopt new regulations or issue Airworthiness Directives (AD’s) to address a specific problem. AD’s are mandatory repair or modifications essential for the prevention of accidents The regulations enhance air carrier safety by collecting additional and timelier data pertinent to critical aircraft components. This data identifies mechanical failures, malfunctions, and defects that may be a hazard to the operation of an aircraft. The FAA uses this data to identify trends that may facilitate the early detection of airworthiness problems. Reports are submitted on occasion.

- 2120-0663
202007-1076-003 Tribal Energy Development Capacity Program Grants DOI/BIA 2020-10-28 2021-06-07 Approved with change Active
Revision of a currently approved collection
Tribal Energy Development Capacity Program Grants

Key Information

Previous ICR

201708-1076-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

25 USC 3502

Abstract

This information collection allows the Office of Indian Energy and Economic Development (IEED) to solicit proposals for projects for building capacity for tribal energy resource development from Indian tribes whose lands are held in trust or restricted fee by the Federal government. IEED then provides funding in the form of Tribal Energy Development Capacity Program (TEDC) grantts. Indian tribes that would like to apply for a TEDC grant must submit an application.

- 1076-0177
202010-1405-006 Certificate of Eligibility for Exchange Visitor Status (J-NONIMMIGRANT) STATE/AFA 2020-10-27 2024-07-19 Approved with change Active
Revision of a currently approved collection
Certificate of Eligibility for Exchange Visitor Status (J-NONIMMIGRANT)

Key Information

Previous ICR

201709-1405-006

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

22 USC 2451

Abstract

The collection is the continuation of information collected and needed by the Bureau of Educational and Cultural Affairs in administering the Exchange Visitor Program (J-Nonimmigrant) under the provisions of the Mutual Educational and Cultural Exchange Act, as amended (22 U.S.C. 2451 et seq.).

- 1405-0119
202008-0960-006 Public Information Campaign SSA 2020-10-20 2023-07-21 Approved with change Active
Revision of a currently approved collection
Public Information Campaign

Key Information

Previous ICR

201706-0960-004

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

42 USC 405

Abstract

In the Public Information Campaign, an SSA contractor mails out the business reply cards following the mailing of public information materials. The contractor combines the results from the business reply cards and provides them to SSA. In turn, SSA uses this information to determine what media format and what markets the public broadcast media aired the materials. Ultimately, this will enable SSA to improve their public information materials. The respondents are broadcast radio sources.

- 0960-0544
202006-1028-001 Ferrous Metals Surveys DOI/GS 2020-10-19 2021-08-04 Approved without change Active
Extension without change of a currently approved collection
Ferrous Metals Surveys

Key Information

Previous ICR

201702-1028-001

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

30 USC 1601 et seq.
50 USC 2061 et seq.
50 USC 98 et seq
30 USC 21 (a)

Abstract

The U.S. Department of the Interior (DOI) and the U.S. Geological Survey (USGS) has policies and responsibilities concerning the management of the Nation's mineral resources and their derived industries. The forms, covering production, consumption, stocks and receipts of ferrous metals commodities, are critical to the metals data collection effort, and are used for military and civilian planning, and Federal policy and economic decisions related to the commodities covered, which include iron ore, nickel, cobalt, manganese, columbium, tantalum, tungsten, silicon, iron and steel scrap, pig iron, and others.

- 1028-0068
202009-1651-002 United States-Caribbean Basin Trade Partnership Act DHS/USCBP 2020-10-14 2022-07-25 Approved without change Historical Active
Reinstatement without change of a previously approved collection
United States-Caribbean Basin Trade Partnership Act

Key Information

Previous ICR

201705-1651-009

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

Pub.L. 106 - 200 200

Abstract

This collection of information is required to implement the duty preference provisions of the United States-Caribbean Basin Trade Partnership Act of 2000 (CBTPA), to expand trade benefits to countries in the Caribbean Basin.

- 1651-0083
202010-1405-001 J-1 Waiver Recommendation Application STATE/AFA 2020-10-08 None None Received in OIRA
Revision of a currently approved collection
J-1 Waiver Recommendation Application

Key Information

Previous ICR

201708-1405-002

Federal Register Notices

60-Day FRN
30-Day FRN

Authorizing Statutes

8 USC 1184

Abstract

The J-1 Waiver Recommendation Application is used to record the information required by 22 CFR 41.63 for a waiver request filed with the Secretary of State. The information requested on the form is limited to that which is necessary to enable the Waiver Review Division of the Visa Office of the Department of State (CA/VO/L/W) to act on the request. Applicants provide biographic data and details of their periods of stay on J visas in the United States.

- 1405-0135
202009-3041-001CF Applicant Background Questionnaire CPSC 2020-10-08 2020-10-14 Approved without change Active
RCF New
Applicant Background Questionnaire

Key Information

- 3046-0046
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