Statement of Non-Receipt of a Passport

ICR 200902-1405-003

OMB: 1405-0146

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2009-02-10
Supporting Statement A
2009-02-10
Justification for No Material/Nonsubstantive Change
2008-07-22
IC Document Collections
IC ID
Document
Title
Status
15031 Modified
ICR Details
1405-0146 200902-1405-003
Historical Active 200807-1405-007
STATE/AFA
Statement of Non-Receipt of a Passport
Revision of a currently approved collection   No
Regular
Approved without change 03/26/2009
Retrieve Notice of Action (NOA) 02/11/2009
  Inventory as of this Action Requested Previously Approved
03/31/2012 36 Months From Approved 04/30/2009
27,400 0 23,500
2,283 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.

US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
   EO: EO 11295 Name/Subject of EO: Rules governing the granting, issuing, and verifying of United States passports
  
None

Not associated with rulemaking

  73 FR 203 10/20/2008
74 FR 21 02/03/2009
Yes

1
IC Title Form No. Form Name
Statement of Non-Receipt of a Passport DS-86, DS-86 Statement of Non-Receipt of a Passport ,   Statement of Non-receipt of 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 27,400 23,500 0 0 3,900 0
Annual Time Burden (Hours) 2,283 2,000 0 0 283 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Burden change increase in respondents indicated is due to the implementation of the Western Hemisphere Travel Initiative

$0
No
No
Uncollected
Uncollected
No
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.
02/11/2009


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