Information Collection

Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement

IC 15051 under ICR 202502-1405-002 · OMB 1405-0160.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-5504 Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement	Form and Instruction
Form DS-5504 Application for a U.S. Passport for Eligible Individuals: Correction, Name Change to Passport Issued 1 Year Ago or Less, and Limited Passport Replacement Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement	Form and Instruction
DS-5504 Application for a U.S. Passport for Eligible Individuals DS-5504-2025.pdf	Form and Instruction
DS-5504 Application for a U.S. Passport for Eligible Individuals DS-5504-2025.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for a U.S. Passport: Name Change, Data Corrections, and Limited Passport Book Replacement

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 Part 50 and 51 (To search for a specific CFR, visit the Code of Federal Regulations.)

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-5504				Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: Application for a U.S. Passport for Eligible Individuals: Correction, Name Change to Passport Issued 1 Year Ago or Less, and Limited Passport Replacement

FR Citation: 90 FR 12668

Number of Respondents: 767,500

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	767,500	629,500	138,000
Annual IC Time Burden (Hours)	511,700	419,700	92,000
Annual IC Cost Burden (Dollars)	36,226,000	32,661,460	3,564,540

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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