OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Additional Visa Pages or Miscellaneous Passport Services

ICR 201308-1405-007 · OMB 1405-0159 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-4085 Application for Additional Visa Pages or Miscellaneous Passport Services Form and Instruction Modified Repair queued
DS-4085 Legal Authorities (07-2013).docx Supplementary Document Uploaded 2013-08-20 Available
DS-4085 Supporting Statement v2 (10-2013).docx Supporting Statement A Uploaded 2013-10-24 Available
IC Document Collections
IC IDCollectionTypeStatusForm
15049 Application for Additional Visa Pages or Miscellaneous Passport Services Form and Instruction Modified
ICR Details
1405-0159 201308-1405-007
Historical Active 201102-1405-004
STATE/AFA
Application for Additional Visa Pages or Miscellaneous Passport Services
Revision of a currently approved collection   No
Regular
Approved with change 10/24/2013
Retrieve Notice of Action (NOA) 08/20/2013
  Inventory as of this Action Requested Previously Approved
10/31/2016 36 Months From Approved 12/31/2013
68,559 0 146,000
22,853 0 48,667
85,700 0 17,645,300
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
  78 FR 22937 04/17/2013
78 FR 51265 08/20/2013
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 68,559 146,000 0 0 -77,441 0
Annual Time Burden (Hours) 22,853 48,667 0 0 -25,814 0
Annual Cost Burden (Dollars) 85,700 17,645,300 0 -17,559,600 0 0
No
No
Burden changes are due to: 1. Decrease in number of respondents 2. Correction of fee incorrectly applied to respondents in last submission
$1,666
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.
08/20/2013