OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16

ICR 201102-1405-003 · OMB 1405-0129 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-3053 Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16 Form Modified Repair queued
Legal Authorities - DS-3053 (1-2011).docx Supplementary Document Uploaded 2011-02-08 Available
DS-3053 Supporting Statement (1-2011).docx Supporting Statement A Uploaded 2011-02-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
14999 Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16 Form Modified
ICR Details
1405-0129 201102-1405-003
Historical Active 200710-1405-005
STATE/AFA
Statement of Consent or Special Circumstances: Issuance of a Passport to a Minor Under Age 16
Extension without change of a currently approved collection   No
Regular
Approved without change 02/23/2011
Retrieve Notice of Action (NOA) 02/08/2011
This form will expire on December 31, 2013 at the request of the Department of State.
  Inventory as of this Action Requested Previously Approved
12/31/2013 12/31/2013 02/28/2011
1,025,000 0 605,800
1,025,000 0 605,800
2,562,500 0 1,042,000
This form is used when both parents or legal guardians of a minor child under age 16 cannot be present at the time the minor's passport application is executed.
PL: Pub.L. 106 - 113 Section 1000 (a)(7)), Name of Law: Foreign Relations Authorization Act, Fiscal Year 2000 and 2001
   US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
  
None
1400-AC28 Final or interim final rulemaking 72 FR 44 03/07/2007
  75 FR 118 06/21/2010
75 FR 197 10/13/2010
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 1,025,000 605,800 0 0 419,200 0
Annual Time Burden (Hours) 1,025,000 605,800 0 0 419,200 0
Annual Cost Burden (Dollars) 2,562,500 1,042,000 0 0 1,520,500 0
No
No
Change indicated is due to increase in number of respondents
$45,660
No
No
No
No
No
Uncollected
Alexys Garcia 202 736-9216 [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.
02/08/2011