OMB control number

Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card

OMB 1405-0014 · STATE/AFA.

OMB 1405-0014

This form is used in conjunction with a DS-11, "Application for a U.S. Passport", or submitted separately to report loss or theft of a U.S. passport. Passport Services collects the information when a U.S. citizen or non-citizen national applies for a new U.S. passport and has been issued a previous, still valid U.S. passport that has been lost or stolen, or when a passport holder independently reports it lost or stolen. Passport applicants can either download the form from the internet or obtain one at any Passport Agency or Acceptance Facility.

The latest form for Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card expires 2026-07-31 and is listed under ICR 202109-1405-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form DS-64 Statement Regarding a Valid Lost or Stolen U.S. Passport Book and/or Card	Form and Instruction
Form DS-64 Statement Regarding a Lost or Stolen Passport Book and/or Card	Form and Instruction
DS-64_OMB No 1405-0014_30 Day FRN_Legal Authorities.docx	Supplementary Document
Legal Authorities.docx	Supplementary Document
DS-64_OMB No 1405-0014_30 Day FRN_PRA Supporting Statement.docx	Supporting Statement A
Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card	Form and Instruction
Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card	Form and Instruction
Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card	Other-Web Application for DS-64

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202410-1405-001	Revision of a currently approved collection	2024-10-07
202109-1405-001	Revision of a currently approved collection	2021-09-10	Approved without change
201807-1405-004	Reinstatement with change of a previously approved collection	2018-07-19	Approved without change
201711-1405-004	No material or nonsubstantive change to a currently approved collection	2017-11-08	Approved with change
201507-1405-004	No material or nonsubstantive change to a currently approved collection	2015-07-30	Improperly submitted and continue
201505-1405-002	Extension without change of a currently approved collection	2015-05-26	Approved without change
201303-1405-003	Revision of a currently approved collection	2013-03-13	Approved with change
201103-1405-005	Extension without change of a currently approved collection	2011-03-16	Approved with change
200902-1405-001	Revision of a currently approved collection	2009-02-11	Approved without change
200807-1405-010	No material or nonsubstantive change to a currently approved collection	2008-08-04	Approved without change
200511-1405-001	Revision of a currently approved collection	2005-11-21	Approved without change
200210-1405-003	Extension without change of a currently approved collection	2002-10-11	Approved without change
200109-1405-002	Reinstatement with change of a previously approved collection	2001-09-07	Approved without change
199712-1405-003	Reinstatement without change of a previously approved collection	1997-12-31	Approved without change
199409-1405-004	Reinstatement with change of a previously approved collection	1994-09-27	Approved without change
199108-1405-004	Reinstatement with change of a previously approved collection	1991-08-01	Approved without change
198408-1405-001	Reinstatement with change of a previously approved collection	1984-08-14	Approved without change
198107-1405-002	No material or nonsubstantive change to a currently approved collection	1981-07-17	Approved with change
197902-1405-001	Reinstatement without change of a previously approved collection	1979-02-14	Approved without change
197812-1405-002	Reinstatement without change of a previously approved collection	1978-12-31	Approved without change
197307-1405-001	No material or nonsubstantive change to a currently approved collection	1973-07-25	Approved with change