[Federal Register Volume 69, Number 149 (Wednesday, August 4, 2004)]
[Notices]
[Page 47199]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-17785]


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DEPARTMENT OF STATE

[Public Notice: 4794]


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

ACTION: 60-Day notice to the public for comments.

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SUMMARY: 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.

FOR FURTHER INFORMATION CONTACT: 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, [email protected] who may be reached at 
202.663.2460.

    Dated: July 21, 2004.
Frank Moss,
Acting Deputy Assistant Secretary for Passport Services, Bureau of 
Consular Affairs, Department of State.
[FR Doc. 04-17785 Filed 8-3-04; 8:45 am]
BILLING CODE 4710-06-P