The agency will
ensure this form is fillable within one year.
Inventory as of this Action
Requested
Previously Approved
11/30/2023
36 Months From Approved
11/30/2020
12,484
0
43,526
6,242
0
21,763
0
0
0
The Statement of Exigent/Special
Family Circumstances for Issuance of a U.S. Passport to a Minor
under Age 16 (DS-5525) is used in conjunction with the Application
for a U.S. Passport (DS-11). This form is only for use if the
written consent of the non-applying parent or guardian cannot be
obtained. The statement must explain in detail the non-applying
parent or guardian's unavailability, and recent efforts made to
contact the non-applying parent/guardian. This form is not to be
used if the non-applying parent/guardian refuses, or claims it is
inconvenient, to provide notarized consent for the minor
applicant.
US Code:
8 USC
1104 Name of Law: Powers and duties of Secretary of State
US Code:
18 USC 1542-1544 Name of Law: False statement in application
and use of passport
US Code: 26
USC 6039E Name of Law: Information concerning resident
status
Demand forecast projections, by
their nature, will have some uncertainty in their accuracy, which
can explain differences between actual and forecast. The decrease
from the previous estimates (43,526 respondents to 37,451) is
attributed to the decrease in projected DS-11s over the next three
years (from 11,763,831 for FY 2016-2018 to 11,015,000 from FY 2019
to 2021).
$6,193
No
Yes
Yes
No
No
No
No
Maya Badiat 202
485-6530
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.