Electronic Diversity Visa Entry Form

OMB 1405-0153

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.

The latest form for Electronic Diversity Visa Entry Form expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DS-5501 Electronic Diversity Visa Entry Form Form and Instruction
(004) Tab 3 -- Legal Authorities 30 Day -- 30 Day DS-5501.docx Supplementary Document
Justification for non-substantive change.docx Justification for No Material/Nonsubstantive Change
DS-5501 Legal Authorities.doc Supplementary Document
(003) Tab 2 -- Supporting Statement -- 30 Day DS-5501.docx Supporting Statement A
Electronic Diversity Visa Entry Form Form and Instruction

All Historical Document Collections

202205-1405-001 Approved without change	Revision of a currently approved collection	2022-05-23
201908-1405-006 Preapproved	Revision of a currently approved collection	2019-08-29
201907-1405-002 Withdrawn and continue	Revision of a currently approved collection	2019-07-03
201906-1405-001 Withdrawn and continue	Revision of a currently approved collection	2019-06-07
201707-1405-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-07-25
201608-1405-001 Approved without change	Extension without change of a currently approved collection	2016-08-03
201307-1405-007 Approved with change	Extension without change of a currently approved collection	2013-07-16
201005-1405-001 Approved without change	Extension without change of a currently approved collection	2010-05-06
200705-1405-001 Approved without change	Extension without change of a currently approved collection	2007-05-14
200704-1405-001 Withdrawn and continue	Extension without change of a currently approved collection	2007-04-09
200608-1405-001 Approved with change	No material or nonsubstantive change to a currently approved collection	2006-08-10
200401-1405-001 Approved without change	Extension without change of a currently approved collection	2004-01-28
200310-1405-013 Approved without change	No material or nonsubstantive change to a currently approved collection	2003-10-30
200309-1405-006 Approved without change	New collection (Request for a new OMB Control Number)	2003-09-30