Request by United States National for and Report of Exception to Section 53.1, Title 22, of The Code of Federal Regulations

ICR 199712-1405-006

OMB: 1405-0075

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1405-0075 199712-1405-006
Historical Active 199409-1405-006
STATE/AFA
Request by United States National for and Report of Exception to Section 53.1, Title 22, of The Code of Federal Regulations
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 04/20/1998
Retrieve Notice of Action (NOA) 12/31/1997
  Inventory as of this Action Requested Previously Approved
04/30/2001 04/30/2001
2,500 0 0
625 0 0
250,000 0 0

Under section 215(b) of the Immigration and Nationality Act, as amended (8 U.S.C. 1185 (b)), it is unlawful, except as otherwise provided, for any citizen of the United States to depart from or enter, or attempt to depart from or enter, the U.S. without a valid passport. This form is used when a national is requesting an exception to this section.

None
None


No

1
IC Title Form No. Form Name
Request by United States National for and Report of Exception to Section 53.1, Title 22, of The Code of Federal Regulations DS-1423

  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 2,500 0 0 2,500 0 0
Annual Time Burden (Hours) 625 0 0 625 0 0
Annual Cost Burden (Dollars) 250,000 0 0 250,000 0 0
Yes
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.
12/31/1997


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