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 Telephone 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 USA Place of Birth Foreign Locations City Province (if applicable) Country Destination 1 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 0 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. 0 YES O 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 0 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? O YES ® NO Q5: Have you submitted a request for an official passport to EOUSA and is the request currently pending? ® YES O 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 0 NO EFTA00081893