Request for Overseas U.S. Citizen Vital Records Services

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-5542 REQUEST FOR OVERSEAS U.S. CITIZEN VITAL RECORDS SERVICES	Form and Instruction	New	Repair queued
Form DS-5542 Request for Overseas U.S. Citizen Vital Records Services	Form and Instruction	New	Repair queued
Form DS-5542_PRA Supporting Statement.docx	Supporting Statement A	Uploaded 2021-12-21	Repair queued
Legal Authorities.docx	Supplementary Document	Uploaded 2021-12-21	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
250874	Request for Overseas U.S. Citizen Vital Records Services	Form and Instruction	New	REQUEST FOR OVERSEAS U.S. CITIZEN VITAL RECORDS SERVICES
250874	Request for Overseas U.S. Citizen Vital Records Services	Form and Instruction	New

ICR Details

OMB Control No: 1405-0253	ICR Reference No: 202112-1405-013
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Request for Overseas U.S. Citizen Vital Records Services
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/22/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/21/2021
Terms of Clearance: Prior to resubmission, the agency will ensure this form can be completed and submitted digitally, without the need to print or otherwise physically handle or transmit the form or supporting documentation. The agency will also ensure it can accept payment from respondents through a web-based option.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2024	36 Months From Approved
Responses	16,846	0	0
Time Burden (Hours)	11,231	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Request for Overseas U.S. Citizen Vital Records Services (form DS-5542) permits U.S. citizens and third parties to request services provided by the Office of Records Management within the Passport Services Directorate in the Bureau of Consular Affairs. The Office of Records Management issues certified or authenticated copies of overseas U.S. citizen vital records such as Consular Reports of Birth/Death Abroad, Certificates of Witness to Marriage, and Panama Canal Zone documents pursuant to authorized requests. Requests for correction, amendment, or replacement of such vital records may be made using this form also.

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Authorizing Statute(s): US Code: 8 USC 1104 Name of Law: Powers and Duties of the Secretary of State
  

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:
	86 FR 47362	08/24/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 68041	11/30/2021
Did the Agency receive public comments on this ICR? Yes

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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
Request for Overseas U.S. Citizen Vital Records Services	DS-5542	REQUEST FOR OVERSEAS U.S. CITIZEN VITAL RECORDS SERVICES

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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	16,846	0	0	16,846	0	0
Annual Time Burden (Hours)	11,231	0	0	11,231	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: New collection - see supporting statement.

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Annual Cost to Federal Government: $3,342,738

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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? No

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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: 12/21/2021

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