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Federal forms, ICRs, and supporting documents

Information Collection Request

Supplemental Questionnaire to Determine Entitlement for a U.S. Passport

ICR 201908-1405-007 · OMB 1405-0214 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form DS-5513 Supplemental Questionnaire to Determine Entitlement for a U.S. Passport Form and Instruction Modified Repair queued
DS-5513_30day_2019_Legal Authorities_FINAL.docx Supplementary Document Uploaded 2019-08-29 Repair queued
DS-5513_30day SuppStmt_2019_FINAL.docx Supporting Statement A Uploaded 2019-08-29 Missing upstream
IC Document Collections
IC IDCollectionTypeStatusForm
203623 Supplemental Questionnaire to Determine Entitlement for a U.S. Passport Form and Instruction Modified
ICR Details
1405-0214 201908-1405-007
Received in OIRA 201607-1405-005
STATE/AFA
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
Revision of a currently approved collection   No
Regular 08/29/2019
  Requested Previously Approved
36 Months From Approved 01/31/2021
4,076 3,257
5,774 4,614
0 0
The Supplemental Questionnaire to Determine Entitlement for a U.S. Passport is used to supplement an application for a U.S. passport when the applicant submits entitlement evidence that is insufficient or of questionable authenticity. It is used by Passport Services to collect additional information to further establish the entitlement of a passport applicant who has not submitted adequate evidence with his/her initial passport application.
US Code: 8 USC 1201-1503 Name of Law: Immigration and Nationality Act
  
None
Not associated with rulemaking
  84 FR 27828 06/14/2019
84 FR 45617 08/29/2019
No
  Total Request 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 4,076 3,257 0 819 0 0
Annual Time Burden (Hours) 5,774 4,614 0 1,160 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The program change reflects an increase in respondents’ use of this form from 3,257 to 4,076. This is likely due to the increase in number of DS-11s over the last three years.
$49,931
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.
08/29/2019