[Federal Register Volume 70, Number 127 (Tuesday, July 5, 2005)]
[Notices]
[Page 38735]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-13107]


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DEPARTMENT OF STATE

[Public Notice 5123]


30-Day Notice of Proposed Information Collection: DS-3053; 
Statement of Consent or Special Circumstances: Issuance of a Passport 
to a Minor Under Age 14, OMB Control Number 1405-0129

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: Statement of Consent or 
Special Circumstances: Issuance of a Passport to a Minor Under Age 14.
     OMB Control Number: 1405-0129.
     Type of Request: Extension of a currently approved 
collection.
     Originating Office: Bureau of Consular Affairs, Department 
of State, Passport Services, Office of Field Operations, Field 
Coordination Division (CA/PPT/FO/FC).
     Form Number: DS-3053.
     Respondents: Individuals or households.
     Estimated Number of Respondents: 525,000 annually.
     Estimated Number of Responses: 525,000 annually.
     Average Hours Per Response: 1 hour.
     Total Estimated Burden: 525,000 hours annually.
     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 July 5, 2005.

ADDRESSES: Direct comments and questions to Katherine Astrich, 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 at 202-395-4718. You may submit comments by any of the 
following methods:
     E-mail: [email protected]. You must 
include the DS form number, information collection title, and OMB 
control number in the subject line of your message.
     Mail (paper, disk, or CD-ROM submissions): Office of 
Information and Regulatory Affairs, 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, Susan Cowlishaw, 
(2100 Pennsylvania Ave., 3rd Floor, Washington, DC 20037) who may be 
reached on 202-261-8957 or 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.
Abstract of Proposed Collection
    The Statement of Consent or Special Circumstances: Issuance of a 
Passport to a Minor Under Age 14 is used by the parent(s) or legal 
guardian(s) of a minor U.S. citizen or non-citizen national under the 
age of 14 to document the written notarized consent to issuance of a 
U.S. passport to the minor of a parent or legal guardian who is not 
present at the time the application is made, or to document the 
existence of exigent or special family circumstances. This form is used 
in conjunction with Form DS-11, Application for a U.S. Passport or 
Registration.
Methodology
    Passport Services collects the information from U.S. citizens or 
non-citizen nationals when they voluntarily complete and submit the 
Statement of Consent or Special Circumstances: Issuance of a Passport 
to a Minor Under Age 14. Passport applicants can either download the 
form from the Internet or pick one up from an Acceptance Facility/
Passport Agency. The form must be completed and then signed in the 
presence of a notary. The notary will complete his/her portion of the 
form and affix the notary seal. The form is then submitted along with 
the Form DS-11 Application for a U.S. Passport.

    Dated: June 23, 2005.
Florence Fultz,
Acting Deputy Assistant Secretary for Passport Services, Bureau of 
Consular Affairs, Department of State.
[FR Doc. 05-13107 Filed 7-1-05; 8:45 am]
BILLING CODE 4710-06-P