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: 1405-0222	ICR Reference No: 201905-1405-003
Status: Historical Active	Previous ICR Reference No: 201604-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Courier Drop-Off List for U.S. Passport Applications
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: 07/07/2020
	Date Received in OIRA: 05/03/2019
Terms of Clearance: DS-4283 is now PDF fillable except for the signature field. Minor adjustments made to the Supporting Statement. Four months prior to resubmission of this collection, the agency will consult with OIRA regarding adopting a capacity for accepting electronic signature.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved	07/31/2020
Responses	238,554	0	216,000
Time Burden (Hours)	39,759	0	36,000
Cost Burden (Dollars)	52,482	0	47,520

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	238,554	216,000	22,554
Annual Time Burden (Hours)	39,759	36,000	3,759
Annual Cost Burden (Dollars)	52,482	47,520	4,962

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The program change reflects an increase in burden hours from 36,000 in 2015 to 39,759. This increase is based on the fact that the number of responses has also increased, from 216,000 to 238,554.This increase correlates to the overall increase in passport demand over the last few years, with the number of applications received at the public counter increasing from 840,732 in 2015 to 907,495 in 2018

Annual Cost to Federal Government: $0

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. No

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? No

Agency Contact: Maya Badiat 202 485-6530

Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.