Information Collection

Statement of Consent: Issuance of a U.S. Passport to a Minor Under the Age 16

IC 14999 under ICR 202412-1405-001 · OMB 1405-0129.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-3053 Statement of Consent: Issuance of a U.S. Passport to a Minor Under the Age 16	Form and Instruction
Form DS-3053 Statement of Consent: U.S. Passport Issuance to a Child Statement of Consent: Issuance of a U.S. Passport to a Minor Under the Age 16	Form and Instruction
DS-3053 Statement of Consent: U.S. Passport Issuance to a Child DS-3053_for OIRA approval from AF71.pdf	Form and Instruction
DS-3053 Statement of Consent: U.S. Passport Issuance to a Child DS-3053_for OIRA approval from AF71.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 51.27

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-3053				Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 362,900

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	362,900	362,900
Annual IC Time Burden (Hours)	120,967	120,967
Annual IC Cost Burden (Dollars)	2,794,330	2,794,330

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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