Information Collection

Affidavit Regarding A Change of Name

IC 263050 under ICR 202310-1405-004 · OMB 1405-0133.

Documents and Forms

Document Name Document Type
Form DS-60 Affidavit Regarding A Change of Name Form
DS-60 Affidavit Regarding A Change of Name DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_PDF Fillable_Draft.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidavit Regarding A Change of Name	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DS-60	Affidavit Regarding A Change of Name	DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_PDF Fillable_Draft.pdf		No		Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Affidavit Regarding A Change of Name	FR Citation: 85 FR 12245

Number of Respondents: 3,617	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,617	0	3,617
Annual IC Time Burden (Hours)	2,411	0	2,411
Annual IC Cost Burden (Dollars)	0	67,532	-67,532

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.