OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for additional VISA Pages or Miscellaneous Passport Services

ICR 200710-1405-006 · OMB 1405-0159 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-4085 Application for Additional Visa Pages or Miscellaneous Passport Services Form Modified Repair queued
30day supstmnt DS-4085.doc Supporting Statement A Uploaded 2007-10-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
15049 Application for Additional Visa Pages or Miscellaneous Passport Services Form Modified
ICR Details
1405-0159 200710-1405-006
Historical Active 200506-1405-006
STATE/AFA
Application for additional VISA Pages or Miscellaneous Passport Services
Revision of a currently approved collection   No
Regular
Approved with change 12/11/2007
Retrieve Notice of Action (NOA) 10/30/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 08/31/2008
60,000 0 30,000
20,000 0 10,000
843,000 0 422,000
This form will be used by U.S. citizens and non-citizen nationals who require additional visa pages to be added to their traditional U.S. passport or seek additional miscellaneous passport services.
US Code: 22 USC 211a Name of Law: Immigration and Nationality Act (INA)
  
None
Not associated with rulemaking
  70 FR 53 03/21/2005
70 FR 127 07/05/2005
Yes
  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 60,000 30,000 0 0 30,000 0
Annual Time Burden (Hours) 20,000 10,000 0 0 10,000 0
Annual Cost Burden (Dollars) 843,000 422,000 0 0 421,000 0
No
No
Burden increase and cost increase due to the anticipated full implementation of WHTI that resulted in an increase in passport applications. Form retitled and redesigned to simplify additional passport page application process and provide mechanism for passport services that were not previously associated with a specific form.
$298,200
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Lori Voelz 2026633113 [email protected]
  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.
10/30/2007