OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement

ICR 201102-1405-005 · OMB 1405-0160 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-5504 Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement Form and Instruction Modified Available
Legal Authorities - DS-5504 (1-2011).doc Supplementary Document Uploaded 2011-02-08 Available
DS-5504 Supporting Statement (1-2011).docx Supporting Statement A Uploaded 2011-02-08 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
15051 Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement Form and Instruction Modified
ICR Details
1405-0160 201102-1405-005
Historical Active 200710-1405-007
STATE/AFA
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
Extension without change of a currently approved collection   No
Regular
Approved without change 02/25/2011
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
181,000 0 100,000
90,500 0 50,000
5,900,050 0 2,505,000
This form isused to re-apply for a new U.S. passport when an applicant receives a U.S. passport limited in validity for one year, or to change the identifying information if the U.S. passport is less than a year old.
US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
  
None
1400-AC22 Final or interim final rulemaking 71 FR 200 10/17/2006
  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 181,000 100,000 0 0 81,000 0
Annual Time Burden (Hours) 90,500 50,000 0 0 40,500 0
Annual Cost Burden (Dollars) 5,900,050 2,505,000 0 0 3,395,050 0
No
No
The indicated changes are due to an increase in respondents and the department's improved estimate of expedited service requests.
$26,040
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