Information Collection

Statement of Non-Receipt of a Passport

IC 15031 under ICR 200807-1405-007 · OMB 1405-0146.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0146 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-86 Statement of Non-Receipt of a Passport	Form
DS-86 Statement of Non-Receipt of a Passport DS-86 7-22-08.pdf	Form
Justification for Changes to the DS-86.doc.docx Justification for Changes to DS-86	IC Document

IC Title:

Statement of Non-Receipt of a Passport

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DS-86	Statement of Non-Receipt of a Passport	DS-86 7-22-08.pdf		No		Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 23,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	23,500	23,500
Annual IC Time Burden (Hours)	2,000	2,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Justification for Changes to DS-86	Justification for Changes to the DS-86.doc.docx	07/22/2008

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.