Special Immigrant Visa Biodata Form

Application for Immigrant Visa and Alien Registration

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0015 can be found here:

Documents and Forms

Document Name Document Type
Form DS-0234 Special Immigrant Visa Biodata Form Form and Instruction
DS-0234 Special Immigrant Visa Biodata Form DS0234.pdf Form and Instruction
DS-0234 Special Immigrant Visa Biodata Form DS0234 (10-2008).pdf Form and Instruction
Justification for change 5-19.doc Justification for Change IC Document

Information Collection (IC) Details

IC Title:	Special Immigrant Visa Biodata Form	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-0234	Special Immigrant Visa Biodata Form	DS0234.pdf		No		Fillable Printable
Form and Instruction	DS-0234	Special Immigrant Visa Biodata Form	DS0234 (10-2008).pdf		Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,000	7,000	5,000
Annual IC Time Burden (Hours)	4,000	2,333	1,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
Justification for Change	Justification for change 5-19.doc	05/20/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.