OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card

ICR 201505-1405-002 · OMB 1405-0014 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-64 Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card Form and Instruction Modified Repair queued
Legal Authorities (5-2015).docx Supplementary Document Uploaded 2015-05-26 Repair queued
DS-64 Supporting Statement(5-2015).docx Supporting Statement A Uploaded 2015-05-26 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
14809 Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card Form and Instruction Modified
ICR Details
1405-0014 201505-1405-002
Historical Active 201303-1405-003
STATE/AFA
Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card
Extension without change of a currently approved collection   No
Regular
Approved without change 06/24/2015
Retrieve Notice of Action (NOA) 05/26/2015
  Inventory as of this Action Requested Previously Approved
06/30/2018 36 Months From Approved 08/31/2015
527,334 0 991,351
87,889 0 174,312
47,560 0 396,838
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
  
None
Not associated with rulemaking
  80 FR 6566 02/05/2015
80 FR 30107 05/26/2015
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 527,334 991,351 0 0 -464,017 0
Annual Time Burden (Hours) 87,889 174,312 0 0 -86,423 0
Annual Cost Burden (Dollars) 47,560 396,838 0 0 -349,278 0
No
No
Change due to decreased number of respondents
$1,998,739
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.
05/26/2015