The agency will ensure this form is fillable within one year.
Inventory as of this Action
Requested
Previously Approved
11/30/2023
36 Months From Approved
11/30/2020
12,484
0
43,526
6,242
0
21,763
0
0
0
The Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor under Age 16 (DS-5525) is used in conjunction with the Application for a U.S. Passport (DS-11). This form is only for use if the written consent of the non-applying parent or guardian cannot be obtained. The statement must explain in detail the non-applying parent or guardian's unavailability, and recent efforts made to contact the non-applying parent/guardian. This form is not to be used if the non-applying parent/guardian refuses, or claims it is inconvenient, to provide notarized consent for the minor applicant.
US Code:
8 USC 1104
Name of Law: Powers and duties of Secretary of State
US Code:
18 USC 1542-1544
Name of Law: False statement in application and use of passport
US Code:
26 USC 6039E
Name of Law: Information concerning resident status
Demand forecast projections, by their nature, will have some uncertainty in their accuracy, which can explain differences between actual and forecast. The decrease from the previous estimates (43,526 respondents to 37,451) is attributed to the decrease in projected DS-11s over the next three years (from 11,763,831 for FY 2016-2018 to 11,015,000 from FY 2019 to 2021).
$6,193
No
Yes
Yes
No
No
No
No
Maya Badiat 202 485-6530
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.
Form DS-5525 Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor Under Age 16
DS-5525_30day_2019_Legal Authorities_FINAL.docx
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor Under Age 16