APPLICATION FOR RENEWAL, AMENDMENT, EXTENSION OF PASSPORT

ICR 198212-1405-003

OMB: 1405-0012

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1405-0012 198212-1405-003
Historical Active 197711-1405-002
STATE/AFA
APPLICATION FOR RENEWAL, AMENDMENT, EXTENSION OF PASSPORT
Revision of a currently approved collection   No
Regular
Approved without change 01/17/1983
Retrieve Notice of Action (NOA) 12/06/1982
  Inventory as of this Action Requested Previously Approved
12/31/1985 12/31/1985 12/31/1982
65,000 0 75,000
8,666 0 7,500
0 0 0

IT IS USED WHEN A PERSON WHOSE PASSPORT WAS LIMITED (BECAUSE OF INSUFFICIENT CITIZENSHIP EVIDENCE, FOR EXAMPLE) ASKS THAT IT BE EXTENDED. IT IS ALSO USED WHEN A PERSON WANTS THE PASSPORT AMENDED (TO REFLECT A NEW NAME, FOR EXAMPLE). THE RECORD OF THESE SERVICES BECOMES PART OF THE PERSON'S PERMANENT PASSPORT FILE IN THE STATE DEPARTMENT.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR RENEWAL, AMENDMENT, EXTENSION OF PASSPORT FS-299, OF 195

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 65,000 75,000 0 0 -10,000 0
Annual Time Burden (Hours) 8,666 7,500 0 0 1,166 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
12/06/1982


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