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60-Day Notice of Proposed Information Collection: DS-60, Affidavit Regarding A Change of Name, OMB Control Number 1405-0133

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60-Day notice to the public for comments.


The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. This process is conducted in accordance with the Paperwork Reduction Act of 1995.

The following summarized the information collection proposal to be submitted to OMB:

Type of Request: Regular—Extension of a currently approved collection.

Originating Office: Bureau of Consular Affairs, Department of State, Passport Services, Office of Field Operations, Field Coordination Division.

Title of Information Collection: Affidavit Regarding A Change of Name.

Frequency: On occasion.

Form Number: DS-60.

Respondents: Individuals or Households.

Estimated Number of Respondents: 113,600 per year.

Estimated Number of Responses: 113,600 per year.

Average Hours Per Response: 15 minutes.

Total Estimated Burden: 28,400 hours per year.

Public comments are being solicited to permit the agency to:

  • Evaluate whether the proposed information collection is necessary for the proper performance of the functions of the agency.
  • Evaluate the accuracy of the agency's estimate of the burden of the proposed collection, including the validity of the methodology and assumptions used.
  • Enhance the quality, utility, and clarity of the information to be collected/
  • Minimize the reporting burden on those who are to respond, including through the use of automated collection techniques or other forms of technology.

Abstract of proposed collection: The Affidavit Regarding A Change of Name is used in conjunction with a passport application. It is used by Passport Services to collect information for the purpose of establishing that a passport applicant who has adopted a new name without formal court proceedings or a marriage has publicly and exclusively used the adopted name over a period of time (at least five years).

Methodology: When needed, The Affidavit Regarding A Change of Name is completed at the time a U.S. citizen applies for a U.S. passport.

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Public comments, or requests for additional information, regarding the collection listed in this notice should be directed to Margaret A. Dickson, U.S. Department of State, CA/PPT/FO/FC, 2100 Pennsylvania Avenue, NW., 3rd Floor /Room 3040/SA-29, Washington, DC 20037, who may be reached at 202.663.2460.

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Dated: July 21, 2004.

Frank Moss,

Acting Deputy Assistant Secretary for Passport Services, Bureau of Consular Affairs, Department of State.

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[FR Doc. 04-17785 Filed 8-3-04; 8:45 am]