EFTA00027830.pdf

Type: pdf
Source set: data-set-8
Extracted text

Questionnaire for Official Foreign Travel 
United States Attorneys' Offices and the Executive Office for United States Attorneys 
Last Revised: April 28, 2016 
A separate questionnaire is required for each EOUSA/USAO employee who is traveling. 
Part I. Traveler Information and Scope of Travel 
Full Name 
Office (e.g., EOUSA, USAO-ALN, etc.) 
USAO-SDNY 
Position Title 
E-mail Address 
AUSA 
Tele • hone Number 
Departure Address (City and State) 
New York, New York 
Departure Date (from Home or Office) 
Return Date (to Home or Office) 
02/03/2020 
02/06/2020 
Country of Birth 
Place of Birth 
Foreign Locations 
City 
Province (if applicable) 
Country 
Destination I 
Stockholm 
Sweden 
Destination 2 
Destination 3 
Destination 4 
Ql: Are you traveling to more than four destinations? If yes, 
attach an additional sheet listing the additional destinations. 
O 
YES 
® 
NO 
Q2: Have you completed your travel reservations? If yes, please 
attach a detailed flight itinerary, your lodging information, and 
any other transportation reservations. If no, please STOP and 
make your travel reservations before proceeding. 
O YES 
0 
NO
Q3: Have you already obtained OIA's approval? If yes, please 
attach OIA's approval e-mail. If you are traveling for civil 
purposes, you do not need OIA's approval to travel. For others, 
submit a completed questionnaire to OIA to obtain approval. 
O 
YES 
® 
NO 
Q4: Do you have an official passport that is valid for at least six 
months from the date you will arrive in the foreign country? 
0 
YES 
O 
NO 
Q5: Have you submitted a request for an official passport to 
EOUSA and is the request currently pending? 
O 
YES e NO 
Q6: Has the Department of State granted you a waiver of the 
requirement for an official passport? If yes, please attach the 
State Department's e-mail granting a waiver. 
O 
YES e NO 
EFTA00027830


Q7: Do any of your destinations require a visa for travel under 
an official passport? If applicable, submit the required materials…
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