OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16

IC 263838 under ICR 202312-1405-001 · OMB 1405-0216.

Documents and Forms

Documents and forms in this information collection
Document NameDocument Type
Form DS-5525
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16		 Form and Instruction
DS-5525 Statement of Exigent/Special Family Circumstances for Is
DS-5525_Expires 113023_OMB No. 1405 0216_30-Day FRN_ PDF Fillable Draft.pdf 		Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

layout table

Information Collection Instruments:
table that charts list of instruments
Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction DS-5525 Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16 DS-5525_Expires 113023_OMB No. 1405 0216_30-Day FRN_ PDF Fillable Draft.pdf Yes No Fillable Printable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 28,933 0 28,933 0 0 0
Annual IC Time Burden (Hours) 14,467 0 14,467 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.