Statement of Non-Receipt of a Passport

ICR 200807-1405-007

OMB: 1405-0146

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Justification for No Material/Nonsubstantive Change
2008-07-22
IC Document Collections
IC ID
Document
Title
Status
15031 Modified
ICR Details
1405-0146 200807-1405-007
Historical Active 200601-1405-002
STATE/AFA
Statement of Non-Receipt of a Passport
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/22/2008
Retrieve Notice of Action (NOA) 07/23/2008
  Inventory as of this Action Requested Previously Approved
04/30/2009 04/30/2009 04/30/2009
23,500 0 23,500
2,000 0 2,000
0 0 0

The Statement of Non-Receipt of a Passport, Form DS-86, is used by the U.S. Department of State to collect information for the purpose of issuing a replacement passport to a customer who has not received the passport for which he/she had originally applied.

None
None

Not associated with rulemaking

No

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

  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 23,500 23,500 0 0 0 0
Annual Time Burden (Hours) 2,000 2,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Andrina Agnew 2026632445

  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.
07/23/2008


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