Questionnaire - Loss of United States Nationality; Attestations

ICR 202503-1405-007

OMB: 1405-0178

Federal Form Document

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0178 can be found here:

2025-04-22 - No material or nonsubstantive change to a currently approved collection

Forms and Documents

Document Name	Status
Form DS-4079 Questionnaire - Loss of United States Nationality; Attestations Form and Instruction	Unchanged
Form DS-4079 Questionnaire - Loss of United States Nationality; Attestations Form and Instruction	Unchanged
Non-Substantive Change 1405-0178 DS-4079.docx Justification for No Material/Nonsubstantive Change	2025-03-29
Non-Substantive Change 1405-0178 DS-4079.docx Justification for No Material/Nonsubstantive Change	2025-03-29
4079_Published.pdf Supplementary Document	2023-09-29
4079_Published.pdf Supplementary Document	2023-09-29
PublishedFR_07-19-2023.pdf Supplementary Document	2023-09-28
PublishedFR_07-19-2023.pdf Supplementary Document	2023-09-28
Legal Authorities.docx Supplementary Document	2023-09-28
Legal Authorities.docx Supplementary Document	2023-09-28
1405-0178 Supporting Statement - CLEAN 10.24.2024.docx Supporting Statement A	2024-10-24
1405-0178 Supporting Statement - CLEAN 10.24.2024.docx Supporting Statement A	2024-10-24

IC Document Collections

IC ID	Document Title	Status
181472	Questionnaire - Loss of United States Nationality; Attestations Form and Instruction	Unchanged
181472	Questionnaire - Loss of United States Nationality; Attestations Form and Instruction	Unchanged

ICR Details

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