OMB control number
Affidavit Regarding A Change of Name
OMB 1405-0133 ยท STATE/AFA.
OMB 1405-0133
The Affidavit Regarding a Change of Name (DS-60) 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 that a passport applicant has adopted a new name without formal court proceedings or a marriage and has publicly and exclusively use the adopted name over a long period of time (generally five years). The affidavit must be executed by an affiant who has personal knowledge of the facts of the applicant's use of both their birth name and their newly adopted name in question.
The latest form for Affidavit Regarding A Change of Name expires 2027-10-31 and is listed under ICR 202310-1405-004.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form DS-60 Affidavit Regarding A Change of Name | Form |
| Form DS-60 Affidavit Regarding A Change of Name | Form and Instruction |
 DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_Legal Authorities.docx | Supplementary Document |
| DS-60_30day_2020_Legal Authorities Final.docx | Supplementary Document |
| DS-10_Expires 103123_OMB No. 1405-0132_30-Day FRN_PRA Supporting Statement.docx | Supporting Statement A |
 Affidavit Regarding A Change of Name |
Form |
| Affidavit Regarding A Change of Name |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202310-1405-004 | Revision of a currently approved collection | 2023-10-26 | ||
| 202007-1405-001 | Revision of a currently approved collection | 2020-07-29 | Approved with change | |
| 201709-1405-005 | Revision of a currently approved collection | 2017-09-29 | Approved without change | |
| 201407-1405-005 | Revision of a currently approved collection | 2014-07-22 | Approved without change | |
| 201105-1405-004 | Revision of a currently approved collection | 2011-05-03 | Approved without change | |
| 200803-1405-012 | Revision of a currently approved collection | 2008-03-31 | Approved without change | |
| 200412-1405-007 | Revision of a currently approved collection | 2004-12-29 | Approved without change | |
| 200111-1405-002 | Reinstatement with change of a previously approved collection | 2001-11-20 | Approved without change |
OMB Details
Affidavit Regarding A Change of Name
Federal Enterprise Architecture: Homeland Security - Border and Transportation Security
| Form | Name | Electronic access | Type |
|---|---|---|---|
| Form DS-60 | Affidavit Regarding a Change of Name | www.travel.state.gov | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.