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OMB Control No: 1405-0014	ICR Reference No: 202410-1405-001
Status: Received in OIRA	Previous ICR Reference No: 202109-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/07/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2025
Responses	1,078,400	643,400
Time Burden (Hours)	89,867	53,617
Cost Burden (Dollars)	7,764	4,632

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	1,078,400	643,400	-208,400	643,400
Annual Time Burden (Hours)	89,867	53,617	-17,367	53,617
Annual Cost Burden (Dollars)	7,764	4,632	-1,500	4,632

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 cost to respondents is based on the civilian hourly wage listed in the Employer Costs for Employee Compensation released by the Bureau of Labor Statistics in 2023. The base hourly wage is estimated to be $31.48 . We also incorporate a benefit multiplier of 1.3 and the total hourly wage is calculated to be $40.92. The total hourly wage of $40.92 is then multiplied by the annual time burden of 36,250 hours. Therefore, the estimated total annual respondent hour cost burden is $1,483,350.

Annual Cost to Federal Government: $5,629,855

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: Alan Jones 202 717-0683