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60-Day Notice of Proposed Information Collection: Form DS-11 Application for a U.S. Passport, OMB Control Number 1405-0004

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Notice of request for public 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. We are conducting this process in accordance with the Paperwork Reduction Act of 1995.

  • Title of Information Collection: Application for a U.S. Passport.
  • OMB Control Number: 1405-0004.
  • Type of Request: Revision of a Currently Approved Collection.
  • Originating Office: Bureau of Consular Affairs, Passport Services CA/PPT.
  • Form Number: DS-11.
  • Respondents: Individuals or Households.
  • Estimated Number of Respondents: 12.5 million respondents per year.
  • Estimated Number of Responses: 12.5 million responses per year.
  • Average Hours Per Response: 85 minutes.
  • Total Estimated Burden: 17,708,300 per year.
  • Frequency: On occasion.
  • Obligation to Respond: Required to Obtain or Retain a Benefit.


The Department will accept comments from the public up to 60 days from June 21, 2010.


You may submit comments by any of the following methods:

 • E-mail:

  • Mail (paper, disk, or CD-ROM submissions): Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue NW., Room 3031, Washington, DC 20037.

You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence.

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Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed information collection and supporting documents, to Passport Forms Management Officer, U.S. Department of State, Office of Program Management and Operational Support, 2100 Pennsylvania Avenue NW., Room 3031, Washington, DC 20037, who may be reached on 202-663-2457 or at

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We are soliciting public comments to permit the Department to:

 • Evaluate whether the proposed information collection is necessary for the proper performance of our functions.

 • Evaluate the accuracy of our 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 the use of automated collection techniques or other forms of technology.

Abstract of proposed collection:

The information collected on the DS-11 is used to facilitate the issuance of passports to U.S. citizens and nationals. The primary purpose of soliciting the information is to establish citizenship, identity, and entitlement to the issuance of the U.S. passport or related service, and to properly administer and enforce the laws pertaining to the issuance thereof.


Passport Services collects information from U.S. citizens and non-citizen nationals when they complete and submit the Application for a U.S. Passport. Passport applicants can either download the DS-11 from the internet or obtain one from an Acceptance Facility/Passport Agency. The form must be completed, executed at an acceptance facility or passport agency, and submitted with evidence of citizenship and identity.

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Dated: June 14, 2010.

Florence Fultz,

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

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[FR Doc. 2010-14921 Filed 6-18-10; 8:45 am]