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Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201912-1405-001 · OMB 1405-0160 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-5504 Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement Form and Instruction Unchanged Available
Justification for Non-Substantive.docx Justification for No Material/Nonsubstantive Change Uploaded 2019-12-02 Repair queued
Final DS-5504_60day_2019_LegalAuthorities.docx Supplementary Document Uploaded 2019-10-25 Available
Final DS-5504_30day_2019_Supp Stmt.docx Supporting Statement A Uploaded 2019-10-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
15051 Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement Form and Instruction Unchanged
ICR Details
1405-0160 201912-1405-001
Active 201910-1405-004
STATE/AFA
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/03/2019
Retrieve Notice of Action (NOA) 12/02/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 11/30/2022 11/30/2022
138,000 0 138,000
92,000 0 92,000
3,564,540 0 3,564,540
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.
US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
  
None
Not associated with rulemaking
  84 FR 37707 08/01/2019
84 FR 57546 10/25/2019
No
  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 138,000 138,000 0 0 0 0
Annual Time Burden (Hours) 92,000 92,000 0 0 0 0
Annual Cost Burden (Dollars) 3,564,540 3,564,540 0 0 0 0
No
No
The program adjustments reflect a slight increase in the number of projected respondents from 136,833 (FYs 2016-2018) to 138,000 (FYs 2019-2021). The demand has leveled off in the last couple years after the surge in demand around 2017 and 2018. Using the actual historical application count for FY 2016-2018, the average total DS-5504 receipts amounted to 125,145 per year. Demand forecast projections, by their nature, will have some uncertainty in their accuracy, which can explain differences between actual and forecast.
$377,295
No
    Yes
    Yes
No
No
No
Uncollected
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.
12/02/2019