OMB control number
Birth Affidavit
OMB 1405-0132 ยท STATE/AFA.
OMB 1405-0132
The Birth Affidavit (DS-10) form is submitted in conjunction with an application for a U.S. passport. It is used by Passport Services to collect information for the purpose of establishing the birth in the Unted States of a passport applicant who has not submitted an acceptable United States birth certificate with his or her passport application. An affiant who has personal knowledge of the fats of the applicant's birth in the United States must use the DS-10 in order to execute the affidavit.
The latest form for Birth Affidavit expires 2027-10-31 and is listed under ICR 202310-1405-003.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DS-10 Birth Affidavit | Form |
| Form D-10 Birth Affidavit | Form and Instruction |
 DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_Legal Authorities.docx | Supplementary Document |
| DS-10 Legal Authorities.docx | Supplementary Document |
| DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_PRA Supporting Statement.docx | Supporting Statement A |
 Birth Affidavit |
Form |
| Birth Affidavit |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202310-1405-003 | Revision of a currently approved collection | 2023-10-26 | ||
| 202006-1405-002 | Revision of a currently approved collection | 2020-06-08 | Approved with change | |
| 201706-1405-003 | Revision of a currently approved collection | 2017-06-27 | Approved without change | |
| 201406-1405-003 | Revision of a currently approved collection | 2014-06-17 | Approved without change | |
| 201105-1405-002 | Revision of a currently approved collection | 2011-05-03 | Approved without change | |
| 200803-1405-010 | Revision of a currently approved collection | 2008-03-31 | Approved without change | |
| 200412-1405-006 | Extension without change of a currently approved collection | 2004-12-29 | Approved without change | |
| 200111-1405-001 | Reinstatement with change of a previously approved collection | 2001-11-20 | Approved without change |
OMB Details
Birth Affidavit
Federal Enterprise Architecture: Homeland Security - Border and Transportation Security
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form D-10 | Birth Affidavit | www.travel.state.gov | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.