[Federal Register Volume 70, Number 3 (Wednesday, January 5, 2005)]
[Notices]
[Page 935]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-191]


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DEPARTMENT OF STATE

[Public Notice 4947]


30-Day Notice of Proposed Information Collection: DS-10, Birth 
Affidavit, OMB Control Number 1405-0132

ACTION: Notice of request for public comment and submission to OMB of 
proposed collection of information.

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SUMMARY: The Department of State has submitted the following 
information collection request to the Office of Management and Budget 
(OMB) for approval in accordance with the Paperwork Reduction Act of 
1995.
     Title of Information Collection: Birth Affidavit.
     OMB Control Number: 1405-0132.
     Type of Request: Revision of a currently approved 
collection.
     Originating Office: Bureau of Consular Affairs, CA/PPT/FO/
FC.
     Form Number: DS-10.
     Respondents: U.S. citizens.
     Estimated Number of Respondents: 81,500 per year.
     Estimated Number of Responses: 81,500 per year.
     Average Hours Per Response: .25 (15 minutes).
     Total Estimated Burden: 20,375.
     Frequency: On Occasion.
     Obligation to Respond: Required To Obtain or Retain a 
Benefit.

DATES: Submit comments to the Office of Management and Budget (OMB) for 
up to 30 days from January 5, 2005.

ADDRESSES: Direct comments and questions to Alex Hunt, the Department 
of State Desk Officer in the Office of Information and Regulatory 
Affairs at the Office of Management and Budget (OMB), who may be 
reached on 202-395-7860. You may submit comments by any of the 
following methods:
     E-mail: [email protected]. You must include 
the DS form number (if applicable), information collection title, and 
OMB control number in the subject line of your message.
     Hand Delivery or Courier: OIRA, Department of State Desk 
Officer, Office of Management and Budget, 725 17th Street, NW., 
Washington DC 20503.
     Fax: 202-395-6974.

FOR FURTHER INFORMATION CONTACT: You may obtain copies of the proposed 
information collection and supporting documents from Margaret A. 
Dickson, U.S. Department of State, CA/PPT/FO/FC, 2100 Pennsylvania 
Avenue, NW., 3rd Floor, Washington, DC 20037, who may be reached on 
202-663-2460 and at [email protected].

SUPPLEMENTARY INFORMATION: We are soliciting public comments to permit 
the Department to:
     Evaluate whether the proposed information collection is 
necessary to properly perform 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 Birth Affidavit is submitted 
in conjunction with an application for a U.S. passport and used by 
Passport Services to collect information for the purpose of 
establishing the citizenship of a passport applicant who has not 
submitted an acceptable United States birth certificate with his/her 
passport application.
    Methodology: When needed, a Birth Affidavit is completed at the 
time a U.S. citizen applies for a U.S. passport.

    Dated: November 19, 2004.
Frank Moss,
Deputy Assistant Secretary for Passport Services, Bureau of Consular 
Affairs, Department of State.
[FR Doc. 05-191 Filed 1-4-05; 8:45 am]
BILLING CODE 4710-06-P