Statement of Non-Receipt of a Passport

ICR 200210-1405-001

OMB: 1405-0146

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
15030 Migrated
ICR Details
1405-0146 200210-1405-001
Historical Active
STATE/AFA
Statement of Non-Receipt of a Passport
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 12/02/2002
Retrieve Notice of Action (NOA) 10/09/2002
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005
20,000 0 0
1,667 0 0
0 0 0

It is necessary to submit a statement (DS-86-fomerly DSP-86) when non-receipt of a newly issued passport occurs.

None
None


No

1
IC Title Form No. Form Name
Statement of Non-Receipt of a Passport DS-86

  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 20,000 0 0 20,000 0 0
Annual Time Burden (Hours) 1,667 0 0 1,667 0 0
Annual Cost Burden (Dollars) 0 0 0 0 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.
10/09/2002


© 2024 OMB.report | Privacy Policy