Statement Regarding a Lost or Stolen Passport Book and/or Card

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0014 can be found here:

Documents and Forms

Document Name Document Type
Form DS-64 Statement Regarding a Lost or Stolen Passport Book and/or Card Form
DS-64 Statement Regarding a Lost or Stolen Passport (6)DS0064-073108.pdf Form
DS-64 Statement Regarding a Lost or Stolen Passport DS0064.pdf www.travel.state.gov Form and Instruction
DS-64 Statement Regarding Lost or Stolen Passport Book and/or DS-64 (2011).pdf www.travel.state.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement Regarding a Lost or Stolen Passport Book and/or Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 51.8(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	DS-64	Statement Regarding a Lost or Stolen Passport	(6)DS0064-073108.pdf		No		Printable Only
Form and Instruction	DS-64	Statement Regarding a Lost or Stolen Passport	DS0064.pdf	www.travel.state.gov	Yes	No	Fillable Printable
Form and Instruction	DS-64	Statement Regarding Lost or Stolen Passport Book and/or Card	DS-64 (2011).pdf	www.travel.state.gov	Yes	No	Fillable Printable

Line of Business: Law Enforcement

Subfunction: Citizen Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 122,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	122,500	122,500
Annual IC Time Burden (Hours)	10,208	10,208
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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