Electronic Diversity Visa Entry Form

ICR 201908-1405-006

OMB: 1405-0153

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-08-29
Supporting Statement A
2019-08-29
IC Document Collections
IC ID
Document
Title
Status
15041 Modified
ICR Details
1405-0153 201908-1405-006
PreApproved 201707-1405-003
STATE/AFA
Electronic Diversity Visa Entry Form
Revision of a currently approved collection   No
Regular
Preapproved 08/29/2019
Retrieve Notice of Action (NOA) 08/29/2019
Any previous terms of clearance are still in effect. Additionally, prior to re-submission of this ICR to OMB, the agency should consult with OIRA regarding how the framing of passport-requirement exemptions on the form may have impacted potentially-disqualifying responses from applicants.
  Inventory as of this Action Requested Previously Approved
08/31/2022 36 Months From Approved 01/31/2021
14,589,023 0 11,072,400
7,294,512 0 5,536,200
72,945,115 0 55,362,000

The Department of State utilizes the Electronic Diversity Visa Lottery (EDV) Entry Form to elicit information necessary to ascertain the applicability of the legal provisions of the diversity immigrant visa program. The foreign nationals complete the electronic entry forms and then applications are randomly selected for further participation in the program.

US Code: 8 USC 1011 Name of Law: Immigration and Nationality Act
  
None

1400-AE74 Proposed rulemaking 84 FR 25989 06/05/2019

No

1
IC Title Form No. Form Name
Electronic Diversity Visa Entry Form DS-5501 Electronic Diversity Visa Entry Lottery Form

  Total Preapproved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 14,589,023 11,072,400 0 3,516,623 0 0
Annual Time Burden (Hours) 7,294,512 5,536,200 0 1,758,312 0 0
Annual Cost Burden (Dollars) 72,945,115 55,362,000 0 17,583,115 0 0
Yes
Miscellaneous Actions
No
This collection is revised to include additional questions for EDV lottery entrants regarding information from a valid, unexpired passport. As a result, the time burden has increased to reflect the additional requirement of adding passport information.

$501,793
No
    Yes
    No
No
No
No
Uncollected
Arian Attar 202 485-7638

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/29/2019


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