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Bureau of Consular AffairsConsular Systems and TechnologyApril 27, 2009
CEAC IV Form DS-261
OMB Submission
User Interface Design Presentation V4
CEAC IV Form DS-261 1
Instructions Page
CEAC IV Form DS-261 2
Instructions Page
CEAC IV Form DS-261 3
Summary Information Page
CEAC IV Form DS-261 4
Getting Started Page – Electronic Choice of Address and Agent
CEAC IV Form DS-261 5
Agent Attorney Name and Address Information PageDisplayed for all applicants. Answered No to all questions.
CEAC IV Form DS-261 6
Agent Attorney Name and Address Information PageDisplayed for all applicants. Answered ‘No’ to the first question and ‘Yes’ to the second question.
CEAC IV Form DS-261 7
Agent Attorney Name and Address Information PageDisplayed for all applicants. Answered Yes to all questions.
CEAC IV Form DS-261 8
Sign and Submit PageDisplayed for all applicants. Answered ‘No’ to the question ‘Did anyone assist you in filling out this application?’.
CEAC IV Form DS-261 9
Sign and Submit PageDisplayed for all applicants. Answered ‘Yes’ to the question ‘Did anyone assist you in filling out this application?’.
CEAC IV Form DS-261 10
Copyright Page – Electronic Choice of Address and Agent
CEAC IV Form DS-261 11
Disclaimer Page – Electronic Choice of Address and Agent
CEAC IV Form DS-261 12
Paperwork Reduction Act Page – Electronic Choice of Address and Agent
