60-Day Notice of Proposed Information Collection: Crisis Assistance Request Form, OMB Control No. 1405-0259

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 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 web site 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.

Posted

May 6, 2026

Comment period

May 6, 2026 – Jul 7, 2026

Agency

Department of State (DOS)

FR Doc

FR Doc 2026-08656

No comments yet — comment period open · 12 days left.