Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card

Documents and Forms

Document Name Document Type
Form DS-64 Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card Form and Instruction
DS-64 Statement Regarding a Valid Lost or Stolen U.S. Passport DS-64_Expires 013125_OMB No 1405-0014_30 Day FRN_PDF Fillable Draft.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Statement Regarding a Lost or Stolen U.S. Passport Book and/or Card	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 51.8(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-64	Statement Regarding a Valid Lost or Stolen U.S. Passport Book and/or Card	DS-64_Expires 013125_OMB No 1405-0014_30 Day FRN_PDF Fillable Draft.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Statement Regarding a Valid Lost or Stolen U.S. Passport Book and/or Card	FR Citation: 89 FR 12560

Number of Respondents: 435,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	435,000	-208,400	643,400
Annual IC Time Burden (Hours)	36,250	-17,367	53,617
Annual IC Cost Burden (Dollars)	3,132	-1,500	4,632

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.