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

ICR 201605-1405-005 · OMB 1405-0160 · Historical Inactive

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0160 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form DS-5504 Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement	Form and Instruction	Modified	Available
Justification for Non-substantive 1405-0160.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2016-05-20	Repair queued
DS-5504 Legal Authorities (07-2013).docx	Supplementary Document	Uploaded 2013-09-16	Repair queued
DS-5504 Supporting Statement v2 (1-9-14).docx	Supporting Statement A	Uploaded 2014-01-14	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
15051	Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement	Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0160	ICR Reference No: 201605-1405-005
Status: Historical Inactive	Previous ICR Reference No: 201309-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/24/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/20/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2017	01/31/2017	01/31/2017
Responses	114,637	0	114,637
Time Burden (Hours)	76,425	0	76,425
Cost Burden (Dollars)	2,821,216	0	2,821,216

Abstract: The Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement (DS-5504) is the form used by current passport holders who need to re-apply for a new passport within one year of the date of issuance for the following conditions: a) the passport holder's name has changed within the first year of the issuance of the passport; b) the passport holder needs correction of descriptive information on the data page of the passport; c) the passport holder wishes to obtain a fully valid passport after obtaining a full-fee passport with a limited validity of two years or less.

Authorizing Statute(s): US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 24782	04/26/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 58377	09/23/2013
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement	DS-5504	Application for a U.S. Passport

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden change due to decrease in number of respondents, elimination of fees incorrectly attributed to respondents in the last submission, and adjustment of time required to complete form.

Annual Cost to Federal Government: $956,096

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Alexys Garcia 202 736-9216 [email protected]

Common Form ICR: No