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OMB Control No: 1405-0253	ICR Reference No: 202410-1405-002
Status: Received in OIRA	Previous ICR Reference No: 202303-1405-007
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Request for Overseas U.S. Citizen Vital Records Services
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/18/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2026
Responses	35,192	16,846
Time Burden (Hours)	23,461	11,231
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	35,192	16,846	18,346
Annual Time Burden (Hours)	23,461	11,231	12,230
Annual Cost Burden (Dollars)	0	0	0

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: To calculate the cost to the Federal Government, we consider the average hourly rate for clerical and officer/managerial staff time with benefits, plus the estimated overhead costs including printing, stocking, IT costs, rent, and distributing and processing of this form for service. The fully burdened rates for the domestic clerical staff ($42.45) and civil service passport officers/managers ($91.27) are calculated using the Department’s Cost of Service Model and are based on FY 2023 costs.

Annual Cost to Federal Government: $4,075,422

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: Runda Segerstrom 202 316-0581

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