OMB control number

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

OMB 1405-0214 · STATE/AFA.

OMB 1405-0214

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.

The latest form for Supplemental Questionnaire to Determine Entitlement for a U.S. Passport expires 2027-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DS-5513 Supplemental Questionnaire to Determine Entitlement for a U.S. Passport Form and Instruction
DS-5513_Expires 033124_OMB No 1405-0214_30-day FRN_Legal Authorities.docx Supplementary Document
DS-5513_Expires 033124_OMB No 1405-0214_30-day FRN_PRA Supporting Statement.docx Supporting Statement A
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport Form and Instruction

All Historical Document Collections

202403-1405-002	Revision of a currently approved collection	2024-03-12
201908-1405-007	Revision of a currently approved collection	2019-08-29
201607-1405-005 Approved with change	Revision of a currently approved collection	2016-07-14
201208-1405-002 Approved with change	Existing collection in use without an OMB Control Number	2012-08-07