View Information Collection Request (ICR) Package

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: 1405-0169	ICR Reference No: 201902-1405-005
Status: Historical Active	Previous ICR Reference No: 201512-1405-003
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Request for Entry into Children's Passport Issuance Alert Program
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/14/2020
	Date Received in OIRA: 02/26/2019
Terms of Clearance: TOC: Prior to resubmission of this collection, the agency will confirm with OIRA that it has made the suggested changes regarding the DS-3077's verbiage and capacity for electronic signature as well as any other agreed-upon changes to the supporting statement discussed during review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2021	36 Months From Approved	02/29/2020
Responses	4,000	0	6,000
Time Burden (Hours)	2,000	0	3,000
Cost Burden (Dollars)	40,000	0	60,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	4,000	6,000	-2,000
Annual Time Burden (Hours)	2,000	3,000	-1,000
Annual Cost Burden (Dollars)	40,000	60,000	-20,000

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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated annual number of respondents to this information collection decreased from 6,000 to 4,000. The number of respondents vary from year to year depending on the number of citizens in need. The total cost burden to the respondent decreased from $60,000 to $40,000. The cost decreased because the number of respondents to the information collection decreased. The cost to the government numbers have decreased from $135,358.66 to $67,760 because the method for determining the cost to the government estimations has changed since the last renewal.

Annual Cost to Federal Government: $67,760

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Derek Rivers 202 736-9082 RiversDA@state.gov

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