Statement of Non-Receipt of a U.S. Passport

Documents and Forms

Document Name Document Type
Form DS-86 Statement of Non-Receipt of a U.S. Passport Form and Instruction
DS-86 Statement of Non-Receipt of a U.S. Passport DS-86_Expires 103123_OMB No. 1405-0146_30-Day FRN_PDF Fillable_Draft.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement of Non-Receipt of a U.S. Passport	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-86	Statement of Non-Receipt of a U.S. Passport	DS-86_Expires 103123_OMB No. 1405-0146_30-Day FRN_PDF Fillable_Draft.pdf		No		Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Statement of Non-Receipt of a U.S. Passport	FR Citation: 88 FR 12245

Number of Respondents: 18,260	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	18,260	0	18,260
Annual IC Time Burden (Hours)	4,565	0	4,565
Annual IC Cost Burden (Dollars)	0	12,786	-12,786

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.