Courier Drop-Off List for U.S. Passport Applications

ICR 201604-1405-001

OMB: 1405-0222

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2016-04-11
Supplementary Document
2016-02-10
IC Document Collections
ICR Details
1405-0222 201604-1405-001
Historical Active 201602-1405-004
STATE/AFA
Courier Drop-Off List for U.S. Passport Applications
Existing collection in use without an OMB Control Number   No
Regular
Approved without change 04/26/2016
Retrieve Notice of Action (NOA) 04/11/2016
  Inventory as of this Action Requested Previously Approved
04/30/2019 36 Months From Approved
216,000 0 0
36,000 0 0
47,520 0 0

The information collected on the DS-4283 is used to facilitate the issuance of passports to U.S. nationals with imminent travel plans who hire private courier companies to deliver their applications to one of the Department’s domestic passport agencies. The Department asks courier company employees to complete the DS-4283 and submit the form with passport applications delivered in bulk to passport agencies in a designated drop-off box. Passport agencies use the form to track the submission of applications that a courier drops off. The form serves as a record of receipt of documents submitted to the Department and as an acknowledgment of who delivered these documents. The DS-4283 is part of a Department effort to facilitate the delivery of passport applications by private courier companies while maintaining the integrity of the passport application process.

US Code: 22 USC 2670 Name of Law: Authority to Establish, Maintain and Operate Passport Agencies
   US Code: 22 USC 211a Name of Law: Authority to Grant, Issue, and Verify Passports
  
None

Not associated with rulemaking

  80 FR 47021 08/06/2015
81 FR 6921 02/09/2016
No

1
IC Title Form No. Form Name
Courier Drop-Off List for U.S. Passport Applications DS-4283 Courier Drop-Off List for U.S. Passport Applications

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 216,000 0 0 0 0 216,000
Annual Time Burden (Hours) 36,000 0 0 0 0 36,000
Annual Cost Burden (Dollars) 47,520 0 0 0 0 47,520
No
No

$174,156
No
No
No
No
No
Uncollected
Alexys Garcia 202 736-9216 garciaaa@state.gov

  No

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.
04/11/2016


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