Approved on the
condition that the following changes are made to the form. 1)
"height and weight" are added to the description box on form 2) "if
applicable" is added to the passport no box on form.
Inventory as of this Action
Requested
Previously Approved
01/31/1991
01/31/1991
2,500
0
0
625
0
0
0
0
0
NO CITIZEN OF THE U.S. SHALL DEPART
FROM OR ENTER INTO OR ATTEMPT TO DEPART FROM OR ENTER ANY PART OF
THE U.S. UNLESS HE/SHE BEARS A VALID PASSPORT. UNDER 22 CFR
53.2(H), EXCEPTIONS ARE MADE IN INDIVIDUAL CASES SPECIFICALLY
AUTHORIZED BY THE SECRETARY OF STATE. THIS FORM IS USED BY THE
TRAVELLER TO FORMALLY REQUEST AN EXCEPTION.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.