Application for a U.S. Passport

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-11 Application for a U.S. Passport	Form and Instruction	Modified	Available
DS-11 LegalAuthorities Updated 06-02-2016 (2).docx	Supplementary Document	Uploaded 2016-07-01	Available
Final - DS-11supstmntex.docx	Supporting Statement A	Uploaded 2016-08-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
14791	Application for a U.S. Passport	Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0004	ICR Reference No: 201607-1405-002
Status: Historical Active	Previous ICR Reference No: 201309-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Application for a U.S. Passport
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/31/2016
	Date Received in OIRA: 07/01/2016
Terms of Clearance: State is authorized to continue to use the previously approved version of the DS-11 until October 31, 2016.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	36 Months From Approved	01/31/2017
Responses	11,763,831	0	10,351,043
Time Burden (Hours)	16,665,427	0	16,389,151
Cost Burden (Dollars)	163,517,251	0	142,844,393

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Abstract: The Application for a U.S. Passport (Form DS-11) is used by citizens and non-citizen nationals (hereinafter, collectively referred to as "nationals") of the United States who are applying for a U.S. passport (a travel document attesting to one's identity and U.S. nationality), and who must apply in person.

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Authorizing Statute(s): US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
  

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:
	81 FR 19285	04/04/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 42390	06/29/2016
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for a U.S. Passport	DS-11	U.S. PASSPORT APPLICATION

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ICR Summary of Burden

table that charts list 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	11,763,831	10,351,043	0	1,412,788	0	0
Annual Time Burden (Hours)	16,665,427	16,389,151	0	276,276	0	0
Annual Cost Burden (Dollars)	163,517,251	142,844,393	0	20,672,858	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: The hour burden adjustments indicated reflect an increase in the number of projected respondents from 10,351,043 (previous FYs 2013 – 2016) to 11,763,831 (FYs 2016-2018). Using the actual historical application count for FY 2012-2014, the average total amounted to 8,274,749. While demand decreased slightly in 2011, it began to rise again in 2012, 2013 and 2014. The annual number of respondents projected to use the DS-11 for the next three years was adjusted to reflect the actual demand while taking into account a steady increase projected for FYs 2016 through 2018. Demand forecast projections, by their nature, will have some uncertainty in their accuracy, which can explain differences between actual and forecast. The change in respondent costs is due to the elimination of the fees that were incorrectly attributed as a Cost to Respondent in the last submission and the addition of the costs of providing passport photographs and proofs of citizenship and identity. The change in government costs reflects a change in reporting methodology. Previous calculations were based on parts of the passport application process closely related with the DS-11 form itself. The current method shows the entire cost of the service.

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Annual Cost to Federal Government: $1,294,021,410

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: 07/01/2016

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