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: 1405-0146	ICR Reference No: 202009-1405-001
Status: Historical Active	Previous ICR Reference No: 201709-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Statement of Non-Receipt of a U.S. Passport
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: 10/19/2020
	Date Received in OIRA: 09/10/2020
Terms of Clearance: Agency created fillable PDF as an additional instrument.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved	10/31/2020
Responses	22,868	0	15,330
Time Burden (Hours)	5,717	0	3,833
Cost Burden (Dollars)	20,353	0	3,372

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	22,868	15,330	7,538
Annual Time Burden (Hours)	5,717	3,833	1,884
Annual Cost Burden (Dollars)	20,353	3,372	16,981

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 previous submission shows that it calculated the number of applicants using form DS-86 based on the number of applicants who applied for a passport on form DS-11. This is not the best source of data given it does not include applicants who used form DS-86 in response to non-receipt of passports applied for with forms DS-82. As described in question 12, this submission uses data from the number of passports issued with endorsement 47 indicating that the passport was reissued. This data collection is far more accurate.

Annual Cost to Federal Government: $11,394

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? No

Agency Contact: Kim Makle 202 647-4000

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