60-Day Notice of Proposed Information Collection: Crisis Assistance Request Form, OMB Control No. 1405-0259
The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. In accordance with the Paperwork Reduction Act ...
The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. In accordance with the Paperwork Reduction Act of 1995, we are requesting comments on this collection from all interested individuals and organizations. The purpose of this notice is to allow 60 days for public comment preceding submission of the collection to OMB.
DATES:
The Department will accept comments from the public up to July 6, 2026.
ADDRESSES:
You may submit comments by any of the following methods:
Web:
Persons with access to the internet may comment on this notice by going to
www.Regulations.gov.
You can search for the document by entering “Docket Number: DOS-2026-0529” in the Search field. Then click the “Comment Now” button and complete the comment form.
Regular Mail:
Send written comments to: U.S. Department of State, CA/OCS/MSU, SA-17, 10th Floor, Washington, DC 20522-1710.
You must include the DS form number (if applicable), information collection title, and the OMB control number in any correspondence.
FOR FURTHER INFORMATION CONTACT:
Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed collection instrument and supporting documents, to
OCSRegs@state.gov.
SUPPLEMENTARY INFORMATION:
Title of Information Collection:
Crisis Assistance Request Form.
OMB Control Number:
1405-0259.
Type of Request:
Regular renewal of an approved information collection.
Originating Office:
Bureau of Consular Affairs.
Form Number:
No form.
Respondents:
For all crises, respondents include U.S. citizens; depending on the circumstances of the individual crisis, respondents may also include U.S. lawful permanent residents (LPRs), and eligible family members of both U.S. citizens and LPRs, regardless of nationality, who are experiencing a natural disaster, armed conflict, or other crises in a foreign country, and are seeking U.S. government assistance.
Estimated Number of Respondents:
120,000.
Estimated Number of Responses:
120,000.
Average Time per Response:
5 minutes.
Total Estimated Burden Time:
10,000 hours.
Frequency:
Once.
Obligation to Respond:
Voluntary.
We are soliciting public comments to permit the Department to:
Evaluate whether the proposed information collection is necessary for the proper functions of the Department.
Evaluate the accuracy of our estimate of the time and cost burden for this proposed collection, including the validity of the methodology and assumptions used.
Enhance the quality, utility, and clarity of the information to be collected.
Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of information technology.
Please note that comments submitted in response to this Notice are public record. Before including any detailed personal information, you should be aware that your comments as submitted, including your personal information, will be available for public review.
Abstract of Proposed Collection
The purpose of the collection is to enable the Department of State to provide information and/or consular services to U.S. citizens, eligible family members of U.S. citizens, Lawful Permanent Residents (LPRs) of the United States; or eligible family members of LPRs of the United States who may be in need of assistance in a country experiencing a crisis. The form asks individuals to share information with the Department about their current plans, the number of people in their group, and their exact location. It also asks for their latest contact information and contact information for an emergency contact not currently in the country. The Department of State may activate this collection on
travel.state.gov
when a crisis occurs. U.S. citizens are always eligible to
( printed page 24314)
complete the collection when activated. At the time of the crisis the Department of State will determine whether to activate the LPR and eligible family members of U.S. Citizens and LPRs options of the collection. Those options may be activated later in the crisis rather than in the initial stage when the Department's primary focus is on U.S. citizens.
The Department is utilizing this form to acquire the most current and accurate data possible to inform our consular assistance efforts. It will allow the Department to build a more current picture of how many U.S. citizens and LPRs plan to remain in the country experiencing a crisis and any who may request assistance to depart or other consular assistance. Completion of the form is entirely voluntary.
The availability of U.S. government-coordinated departure assistance can vary depending on the nature of the crisis. In extreme situations, where local infrastructure is damaged or failing but the security situation still allows for some safe movement, the Department may work with the host government, other countries, and other U.S. government agencies to arrange chartered or non-commercial transportation based on information entered in this form. With respect to LPRs, the Department may accommodate special circumstances, such as when a spouse or other immediate relative of a U.S. citizen is traveling with the U.S. citizen family member.
Methodology
The collection will be completed 100 percent electronically. The respondent will access the form at the following link:
https://cacms.state.gov/s/crisis-intake.
The link will also be accessible from the crisis country's country information page on
www.travel.state.gov, the U.S. embassy or consulate website for that country, and other Department of State communications. The Department may also choose as appropriate to distribute the form's URL through emails
from@state.gov
email addresses, or in messaging sent as consular information products. The link will only be activated when there is a need to collect the information.
Elizabeth M Gracon,
Managing Director, Overseas Citizens Services, Bureau of Consular Affairs, Department of State.