Supplemental Questionnaire to Determine Entitlement for a U.S. Passport

ICR 201607-1405-005

OMB: 1405-0214

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2016-07-14
Supporting Statement A
2016-08-11
IC Document Collections
ICR Details
1405-0214 201607-1405-005
Active 201208-1405-002
STATE/AFA
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
Revision of a currently approved collection   No
Regular
Approved with change 08/11/2016
Retrieve Notice of Action (NOA) 07/14/2016
  Inventory as of this Action Requested Previously Approved
08/31/2019 36 Months From Approved 08/31/2016
3,257 0 1,145
4,614 0 1,622
0 0 0

The Supplemental Questionnaire to Determine Entitlement for a U.S. Passport is used to supplement an application for a U.S. passport when the applicant submits entitlement evidence that is insufficient or of questionable authenticity. It is used by Passport Services to collect additional information to further establish the entitlement of a passport applicant who has not submitted adequate evidence with his/her initial passport application.

US Code: 8 USC 1201-1503 Name of Law: Immigration and Nationality Act
  
None

Not associated with rulemaking

  81 FR 13022 03/11/2016
81 FR 45202 07/12/2016
No

1
IC Title Form No. Form Name
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport DS-5513, DS-5513 Supplemental Questionnaire to Determine Entitlement for a US passport

  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 3,257 1,145 0 2,112 0 0
Annual Time Burden (Hours) 4,614 1,622 0 2,992 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The program change reflects an increase in respondents’ use of this form from 1,145 to 3,257. The DS-5513, Supplemental Questionnaire to Determine Entitlement for a U.S. Passport, was introduced in the last three year cycle and the Department is still adjusting its impact on forecasts and workload. While most passport projections are expected to jump drastically in the next few years, the DS-5513 is expected to continue to fall slightly as technology in vital records offices and the timely documentation of births continue to improve.

$96,357
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.
07/14/2016


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