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Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
OMB: 1405-0214
IC ID: 203623
OMB.report
STATE/AFA
OMB 1405-0214
ICR 202403-1405-002
IC 203623
( )
Documents and Forms
Document Name
Document Type
Form DS-5513
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
Form and Instruction
DS-5513 Supplemental Questionnaire to Determine Entitlement for
Form DS-5513_Final_PDF Fillable1.2.pdf
www.travel.state.gov
Form and Instruction
DS-5513 Supplemental Questionnaire to Determine Entitlement for
Form DS-5513_Final_PDF Fillable1.2.pdf
www.travel.state.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Questionnaire to Determine Entitlement for a U.S. Passport
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
22 CFR 50, B&C
22 CFR 51.23, 51.40, 51.45
(To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-5513
Supplemental Questionnaire to Determine Entitlement for a US passport
Form DS-5513_Final_PDF Fillable1.2.pdf
www.travel.state.gov
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:
FR Citation:
Number of Respondents:
760
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
760
0
-3,316
0
0
4,076
Annual IC Time Burden (Hours)
1,077
0
-4,697
0
0
5,774
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.