Department of Defense (DoD) Passport and Passport Agent Services, Authorization to Apply for a "No-Fee" Passport and/or Request for Visa

Forms and Documents

Document Name	Status
Form DD Form 1056 Department of Defense (DoD) Passport and Passport Agent Services, Authorization to Apply for a "No-Fee" Passport and/or Request for Visa Form	Modified
DoD Directive 1000.21E.PDF Supplementary Document	2016-03-02
PIA form for NO PII (pg 1_6 8 Jan 16.PDF Supplementary Document	2016-03-02
Passport Office Supporting Statement 2 26 16 (Update item 12b) FINAL.DOC Supporting Statement A	2016-03-02
Army_477_Add_20150715 VPAS SORN(2).DOC Supplementary Document	2015-09-10
DD_FORM_1056_Memo_SIGNED(2).PDF Supplementary Document	2015-09-10
SSN Justification(2).PDF Supplementary Document	2015-09-10

IC Document Collections

IC ID	Document Title	Status
218157	Department of Defense (DoD) Passport and Passport Agent Services, Authorization to Apply for a "No-Fee" Passport and/or Request for Visa Form	Modified

ICR Details

OMB Control No: 0702-0134	ICR Reference No: 201603-0702-001
Status: Historical Active	Previous ICR Reference No: 201509-0702-001
Agency/Subagency: DOD/DOA	Agency Tracking No: 0702-AACV
Title: Department of Defense (DoD) Passport and Passport Agent Services, Authorization to Apply for a "No-Fee" Passport and/or Request for Visa
Type of Information Collection: Existing collection in use without an OMB Control Number	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/19/2016
	Date Received in OIRA: 03/02/2016
Terms of Clearance: This collection must be reported as a violation in this year's information collection budget.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved
Responses	175,000	0	0
Time Burden (Hours)	175,000	0	0
Cost Burden (Dollars)	1,268,750	0	0

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Abstract: Authorization to apply for a no-fee passport and/or request for a visa is granted to those who can verify U.S. citizenship and legitimate official travel needs. The information collected on this form is shared with the Department of State (DoS) and the embassy of the country to which the traveler is going for the production of the needed travel documents. Respondents include DoD civilians and military members and their dependents traveling on official orders.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 10669	02/27/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 54555	09/10/2015
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Department of Defense (DoD) Passport and Passport Agent Services, Authorization to Apply for a "No-Fee" Passport and/or Request for Visa	DD Form 1056	Authorization to Apply for a "No-Fee" Passport and/or Request for Visa

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ICR Summary of Burden

	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	175,000	0	0	175,000	0	0
Annual Time Burden (Hours)	175,000	0	0	175,000	0	0
Annual Cost Burden (Dollars)	1,268,750	0	0	1,268,750	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is an existing collection in use without an OMB control number.

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Annual Cost to Federal Government: $68,095,847

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/02/2016

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