[Federal Register Volume 81, Number 154 (Wednesday, August 10, 2016)]
[Notices]
[Page 52945]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19019]


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DEPARTMENT OF STATE

[Public Notice: 9643]


60-Day Notice of Proposed Information Collection: Request for 
Determination of Possible Loss of United States Citizenship

ACTION: Notice of request for public comment.

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SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
In accordance with the Paperwork Reduction Act of 1995, we are 
requesting comments on this collection from all interested individuals 
and organizations. The purpose of this notice is to allow 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to 
October 11, 2016.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the Internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2016-0047'' in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
form.
     Email: [email protected]
     Regular Mail: Send written comments to: U.S. Department of 
State, CA/OCS/PMO, 2201 C. St. NW., Washington, DC 20522
     Fax: 202-736-9111
    You must include the DS form number (if applicable), information 
collection title, and the OMB control number in any correspondence.

FOR FURTHER INFORMATION CONTACT: Direct requests for additional 
information regarding the collection listed in this notice, including 
requests for copies of the proposed collection instrument and 
supporting documents, to Derek A. Rivers, Bureau of Consular Affairs, 
Overseas Citizens Services (CA/OCS/PMO), U.S. Department of State, 2201 
C. St. NW., Washington, DC 20522, who may be reached at 
mailto:[email protected].

SUPPLEMENTARY INFORMATION: 
     Title of Information Collection: Request for Determination 
of Possible Loss of United States Citizenship.
     OMB Control Number: 1405-0178.
     Type of Request: Extension of a Currently Approved 
Collection.
     Originating Office: Bureau of Consular Affairs, Overseas 
Citizens Services (CA/OCS).
     Form Number: DS-4079.
     Respondents: United States Citizens.
     Estimated Number of Respondents: 600.
     Estimated Number of Responses: 600.
     Average Time per Response: 40 minutes.
     Total Estimated Burden Time: 400 hours.
     Frequency: On Occasion.
     Obligation to Respond: Voluntary, but if not completed, 
may not obtain or retain benefits.
    We are soliciting public comments to permit the Department to:
     Evaluate whether the proposed information collection is 
necessary for the proper functions of the Department.
     Evaluate the accuracy of our estimate of the time and cost 
burden for this 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 
information technology.
    Please note that comments submitted in response to this Notice are 
public record. Before including any detailed personal information, you 
should be aware that your comments as submitted, including your 
personal information, will be available for public review.
    Abstract of proposed collection:
    The purpose of the DS-4079 questionnaire is to determine current 
citizenship status and the possibility of loss of United States 
citizenship. The information provided assists consular officers and the 
Department of State in determining if the U.S. citizen has lost his or 
her nationality by voluntarily performing an expatriating act with the 
intention of relinquishing United States nationality. 8 U.S.C. 1501 
grants authority to collect this information.
    Methodology:
    The Bureau of Consular Affairs will post this form on Department of 
State Web sites to give respondents the opportunity to complete the 
form online, or print the form and fill it out manually and submit the 
form in person or by fax or mail.

    Dated: July 7, 2016.
Michelle Bernier-Toth,
Managing Director, Bureau of Consular Affairs, Overseas Citizens 
Services, Department of State.
[FR Doc. 2016-19019 Filed 8-9-16; 8:45 am]
 BILLING CODE 4710-06-P