Passport Amendment/Validation Application

ICR 200210-1405-002

OMB: 1405-0007

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
14795 Migrated
ICR Details
1405-0007 200210-1405-002
Historical Active 200109-1405-001
STATE/AFA
Passport Amendment/Validation Application
Extension without change of a currently approved collection   No
Regular
Approved without change 12/02/2002
Retrieve Notice of Action (NOA) 10/11/2002
The agency must, in future submissions, provide greater detail as to why an electronic option cannot be made available for the collection.
  Inventory as of this Action Requested Previously Approved
12/31/2005 12/31/2005 11/30/2002
230,912 0 279,400
19,243 0 69,850
2,093,000 0 0

Form DS-19 is used when the bearer of a passport requests that the passport be amended. This form may beussed in connection with a legal name change, correction of the bearer's descriptive data, add visa pages, or to extend the validity of a limited passport. This form is also used to record any necessary endorsements.

None
None


No

1
IC Title Form No. Form Name
Passport Amendment/Validation Application DS-19

  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 230,912 279,400 0 0 -48,488 0
Annual Time Burden (Hours) 19,243 69,850 0 0 -50,607 0
Annual Cost Burden (Dollars) 2,093,000 0 0 2,093,000 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.
10/11/2002


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