Approved for two years only due to lack of GPEA compliance. OMB requests that DOS continue to pursue development of a means of accepting electronic submission.
Inventory as of this Action
Requested
Previously Approved
08/31/2015
36 Months From Approved
08/31/2013
991,351
0
122,500
174,312
0
10,208
396,838
0
0
The form is used prior to passport issuance and solicits information relating to the loss or theft of a valid U.S. passport. The information is used by the U.S. Department of State to ensure that no person shall bear more than one valid or potentially valid U.S. passport book and/or card at any one time, except as authorized by the Department, and is also used to combat passport fraud and misuse.
US Code:
22 USC 211a
Name of Law: Authority to grant, issue, and verify passports
Burden change due to increased respondent universe and addition of ID photocopy requirement and postage.
$30,662,457
No
No
No
No
No
Uncollected
Jeannette Mancus 202 663-1154
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.