Application for a U.S. Passport

Forms and Documents

Document Name	Status
Form DS-11 Application for a U.S. Passport Form and Instruction	Modified
DS-11_30day_2019_LegalAuthorities.docx Supplementary Document	2019-08-21
Final- DS-11_30day_2019_SuppStmt.docx Supporting Statement A	2020-11-25

IC Document Collections

IC ID	Document Title	Status
14791	Application for a U.S. Passport Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0004	ICR Reference No: 201908-1405-001
Status: Active	Previous ICR Reference No: 201607-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Application for a U.S. Passport
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/15/2020
	Date Received in OIRA: 08/21/2019
Terms of Clearance: The agency made minor revisions to the supporting statement and clarified the DS-11 instructions pertaining to 16 and 17 year olds. The agency is instructed that any ALDACs associated with communicating changes associated with this or related OMB Control Nos. should be provided to OIRA for review in advance of circulation.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved	12/31/2020
Responses	11,015,000	0	11,763,831
Time Burden (Hours)	15,604,583	0	16,665,427
Cost Burden (Dollars)	207,192,150	0	163,517,251

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Abstract: The Application for a U.S. Passport (Form DS-11) is used by citizens and non-citizen nationals (hereinafter, collectively referred to as "nationals") of the United States who are applying for a U.S. passport (a travel document attesting to one's identity and U.S. nationality), and who must apply in person.

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Authorizing Statute(s): US Code: 22 USC 211a Name of Law: Authority to grant, issue, and verify passports
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 24590	05/28/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 42037	08/16/2019
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application for a U.S. Passport	DS-11	U.S. PASSPORT APPLICATION

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ICR Summary of Burden

	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	11,015,000	11,763,831	0	-748,831	0	0
Annual Time Burden (Hours)	15,604,583	16,665,427	0	-1,060,844	0	0
Annual Cost Burden (Dollars)	207,192,150	163,517,251	0	43,674,899	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The hour burden adjustments indicated reflect a decrease in the number of projected respondents from 11,763,831 (previously projected for FY 2016 – 2018) to 11,015,000 (FY 2019-2021). Using the actual historical application count for FY 2016-2018, the average total DS-11 receipts amounted to 10,433,283. Demand forecast projections, by their nature, will have some uncertainty in their accuracy, which can explain differences between actual and forecast.

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Annual Cost to Federal Government: $1,211,651,590

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/21/2019

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