Agency made revisions to the supporting statement to provide additional clarity regarding the processes associated with this information collection and the estimation of burden associated with this information collection.
Inventory as of this Action
Requested
Previously Approved
06/30/2023
36 Months From Approved
06/30/2020
3,250
0
600
5,688
0
400
63,521
0
0
The purpose of the DS-4079 questionnaire is to determine current citizenship status and the possibility of loss of United States citizenship. The information provided assists consular officers and the Department of State in determining if the U.S. citizen has lost his or her nationality by voluntarily performing an expatriating act with the intention of relinquishing United States nationality.
US Code:
8 USC 1481(a)
Name of Law: Immigration and Nationality Act (INA)
Based on the average number of respondents in the past 3 years (FY16-FY18), the number of respondents increased to 3,250 resulting in an associated increase in burden to 812 hours. The reason the number of respondents changed is because the number of respondents that complete the form varies from year to year depending on the number of citizens who may have relinquished their U.S. citizenship. Cost burden has increased due to the number of respondents on average that submit the DS-4079. The cost burden of $63,521 was not included in previous iterations of the Supporting Statement.
$61,812
No
Yes
Yes
No
No
No
No
Clifton Oliphant 202 485-6020
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-4079 Request for Determination of Possible Loss of United States Citizenship
Final -Supporting Statement DS-4079 6-10.docx
Request for Determination of Possible Loss of United States Citizenship