Information Collection

Statement Regarding a Lost or Stolen Passport Book and/or Card

IC 14809 under ICR 201303-1405-003 · OMB 1405-0014.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DS-64 Statement Regarding a Lost or Stolen Passport Book and/or Card Form and Instruction
DS-64 Statement Regarding a Lost or Stolen Passport Book and/o DS-64 Form Revised (7-25-2013).pdf www.travel.state.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement Regarding a Lost or Stolen Passport Book and/or Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 51.8(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-64	Statement Regarding a Lost or Stolen Passport Book and/or Card	DS-64 Form Revised (7-25-2013).pdf	www.travel.state.gov	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 991,351	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	991,351	0	868,851	122,500
Annual IC Time Burden (Hours)	174,312	91,700	72,404	10,208
Annual IC Cost Burden (Dollars)	396,838	396,838	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.