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Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Minor Under Age 16
OMB: 1405-0216
IC ID: 263838
OMB.report
STATE/AFA
OMB 1405-0216
ICR 202312-1405-001
IC 263838
( )
Documents and Forms
Document Name
Document Type
Form DS-5525
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16
Form and Instruction
DS-5525 Statement of Exigent/Special Family Circumstances for Is
DS-5525_Expires 113023_OMB No. 1405 0216_30-Day FRN_ PDF Fillable Draft.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
22 CFR 50
22 CFR 51
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-5525
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16
DS-5525_Expires 113023_OMB No. 1405 0216_30-Day FRN_ PDF Fillable Draft.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
Statement of Exigent/Special Family Circumstances for Issuance of a U.S. Passport to a Child under Age 16
FR Citation:
88 FR 12282
Number of Respondents:
28,933
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
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
28,933
0
28,933
0
0
0
Annual IC Time Burden (Hours)
14,467
0
14,467
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.