OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

DS FOR 1423 - REQUEST BY UNITED STATES NATIONAL FOR AND REPORT OF EXCEPTION TO SECTION 53.1, TITLE 22 OF THE CODE OF FEDERAL REGULATIONS

ICR 198802-1405-001 · OMB 1405-0075 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
124300 DS FOR 1423 - REQUEST BY UNITED STATES NATIONAL FOR AND REPORT OF EXCEPTION TO SECTION 53.1, TITLE 22 OF THE CODE OF FEDERAL REGULATIONS Form Migrated
ICR Details
1405-0075 198802-1405-001
Historical Active
STATE/AFA
DS FOR 1423 - REQUEST BY UNITED STATES NATIONAL FOR AND REPORT OF EXCEPTION TO SECTION 53.1, TITLE 22 OF THE CODE OF FEDERAL REGULATIONS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/01/1988
Retrieve Notice of Action (NOA) 02/01/1988
Approved on the condition that the following changes are made to the form. 1) "height and weight" are added to the description box on form 2) "if applicable" is added to the passport no box on form.
  Inventory as of this Action Requested Previously Approved
01/31/1991 01/31/1991
2,500 0 0
625 0 0
0 0 0
NO CITIZEN OF THE U.S. SHALL DEPART FROM OR ENTER INTO OR ATTEMPT TO DEPART FROM OR ENTER ANY PART OF THE U.S. UNLESS HE/SHE BEARS A VALID PASSPORT. UNDER 22 CFR 53.2(H), EXCEPTIONS ARE MADE IN INDIVIDUAL CASES SPECIFICALLY AUTHORIZED BY THE SECRETARY OF STATE. THIS FORM IS USED BY THE TRAVELLER TO FORMALLY REQUEST AN EXCEPTION.
None
None
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 625 0 0 625 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/01/1988