Statement Regarding A Lost or Stolen Passport

ICR 200210-1405-003

OMB: 1405-0014

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
14808 Migrated
ICR Details
1405-0014 200210-1405-003
Historical Active 200109-1405-002
STATE/AFA
Statement Regarding A Lost or Stolen Passport
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 provide greater detail as to why is it unable to provide an electronic option for this information collection.
  Inventory as of this Action Requested Previously Approved
03/31/2006 03/31/2006 11/30/2002
75,000 0 70,000
6,250 0 17,500
0 0 0

It is necessary to submit a statement (DS-64) with an application for a new passport for a new passport when a valid or potentially valid passport cannot be presented.

None
None


No

1
IC Title Form No. Form Name
Statement Regarding A Lost or Stolen Passport DS-64

  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 75,000 70,000 0 0 5,000 0
Annual Time Burden (Hours) 6,250 17,500 0 0 -11,250 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.
10/11/2002


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