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Federal forms, ICRs, and supporting documents

Information Collection Request

Statement of Consent: Issuance of a passport to a minor under the age of 14

ICR 200402-1405-006 · OMB 1405-0129 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
38759 Statement of Consent: Issuance of a passport to a minor under the age of 14 Form Migrated
ICR Details
1405-0129 200402-1405-006
Historical Active 200201-1405-005
STATE/AFA
Statement of Consent: Issuance of a passport to a minor under the age of 14
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/20/2004
Retrieve Notice of Action (NOA) 02/20/2004
  Inventory as of this Action Requested Previously Approved
03/31/2005 03/31/2005 03/31/2005
1,300,000 0 1,300,000
108,300 0 108,300
0 0 0
The Statement of Consent will be used in conjunction with a DS-11 only in cases of passport issuance to a minor under the age of 14. It will be completed either by the non-appearing parent to give his or her statutorily required consent to the issuance of a passport to the minor; or, by the appearing parent to explain the absence of the other parent's consent.
None
None
No
1
IC Title Form No. Form Name
Statement of Consent: Issuance of a passport to a minor under the age of 14 DS-3053
  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 1,300,000 1,300,000 0 0 0 0
Annual Time Burden (Hours) 108,300 108,300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
02/20/2004