Request for Approval for Multiple-Entry Travel to a Restricted Country or Area

Request for Approval to Travel to a Restricted Country or Area

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0228 can be found here:

Documents and Forms

Document Name Document Type
DRAFT TSG Website Multiple-Entry SVP.docx Instruction
DRAFT TSG Website Multiple-Entry SVP.docx Instruction

Information Collection (IC) Details

IC Title:	Request for Approval for Multiple-Entry Travel to a Restricted Country or Area	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
Instruction			DRAFT TSG Website Multiple-Entry SVP.docx		No		Paper Only

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records
Title: Overseas Citizens Services Records and Other Overseas Records, STATE-05	FR Citation: 81 FR 62235

Number of Respondents: 150	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	150	-100	250
Annual IC Time Burden (Hours)	150	-38	188
Annual IC Cost Burden (Dollars)	42	-3,595	3,637

Documents for IC

Title	Document	Date Uploaded
No associated records found

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