Request for Authentications Service

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-4194 Request for Authentications Service	Form and Instruction	New	Available
Form DS-4194 Request for Authentications Service	Form and Instruction	Unchanged	Available
DS-4194_Expires 013125_OMB No. 1405-0254_30 Day FRN_Legal Authorities.docx	Supplementary Document	Uploaded 2024-11-07	Available
DS-4194_Expires 013125_OMB No. 1405-0254_30 Day FRN_PRA Supporting Statement.docx	Supporting Statement A	Uploaded 2024-11-07	Available
PN11584_FR Published_11.30.2021.pdf	Supplementary Document	Uploaded 2022-05-27	Available
11501_PublishedFR_08-18-2021.pdf	Supplementary Document	Uploaded 2022-05-27	Available
Legal Authorities.docx	Supplementary Document	Uploaded 2021-12-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
272219	Request for Authentications Service	Form and Instruction	New	Request for Authentications Service
250865	Request for Authentications Service	Form and Instruction	Unchanged	Request for Authentications Service

ICR Details

OMB Control No: 1405-0254	ICR Reference No: 202411-1405-001
Status: Received in OIRA	Previous ICR Reference No: 202301-1405-003
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Request for Authentications Service
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/07/2024

table that charts list comparision

	Requested	Previously Approved
Expiration Date	36 Months From Approved	07/31/2026
Responses	107,828	47,094
Time Burden (Hours)	17,971	7,849
Cost Burden (Dollars)	0	0

---

Abstract: The Request for Authentication Services (Form DS-4194) is used by individuals, institutions, and government agencies, to request the services provided by the U.S. Department of State’s Office of Authentications within the Bureau of Consular Affairs, Passport Services Directorate, Support Operations, Office of Technical Operations (CA/PPT/S/TO/AUT). This office provides authentication services to U.S. citizens and foreign nationals for documents to be used for legal and administrative purposes abroad under the seal of the U.S. Department of State.

---

Authorizing Statute(s): US Code: 22 USC 2657 Name of Law: Custody of Seals and Property
  

Citations for New Statutory Requirements: None

---

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

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12503	08/22/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12576	11/07/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Request for Authentications Service	DS-4194	Request for Authentications Service
Request for Authentications Service	DS-4194	Request for Authentications Service

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	107,828	47,094	0	60,734	0	0
Annual Time Burden (Hours)	17,971	7,849	0	10,122	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: Passport Services estimates that the average time required for this information collection is 10 minutes per response. Therefore, the estimated total annual respondent hour time burden is: 10,122 hours.

---

Annual Cost to Federal Government: $322,870

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

---

Common Form ICR:  No

---

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: 11/07/2024

---