View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1405-0160
ICR Reference No:
200710-1405-007
Status:
Historical Active
Previous ICR Reference No:
200506-1405-007
Agency/Subagency:
STATE/AFA
Agency Tracking No:
Title:
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
12/11/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/30/2007
Terms of Clearance:
Approved contingent on OMB and State agreement that revised forms will not be used until revised regulations are effective.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2010
36 Months From Approved
08/31/2008
Responses
100,000
0
50,000
Time Burden (Hours)
50,000
0
25,000
Cost Burden (Dollars)
2,505,000
0
1,253,000
Abstract:
This form isused to re-apply for a new U.S. passport when an applicant receives a U.S. passport limited in validity for one year, or to change the identifying information if the U.S. passport is less than a year old.
Authorizing Statute(s):
US Code:
22 USC 211a
Name of Law: Authority to grant, issue, and verify passports
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1400-AC22
Final or interim final rulemaking
71 FR 200
10/17/2006
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
70 FR 53
03/21/2005
30-day Notice:
Federal Register Citation:
Citation Date:
70 FR 127
07/05/2005
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
DS-5504, DS-5504
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
,
Application for a U.S. Passport: Name Change, Data Correction, and Limited Passport Book Replacement
ICR Summary of Burden
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
100,000
50,000
0
0
50,000
0
Annual Time Burden (Hours)
50,000
25,000
0
0
25,000
0
Annual Cost Burden (Dollars)
2,505,000
1,253,000
0
0
1,252,000
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Change in form design and burden changes are the result of anticipated full implementation of WHTI.
Annual Cost to Federal Government:
$482,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Lori Voelz 2026633113 VoelzLM@state.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
10/30/2007
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