[Federal Register Volume 82, Number 188 (Friday, September 29, 2017)]
[Notices]
[Pages 45656-45657]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-21025]


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DEPARTMENT OF STATE

[Public Notice: 10143]


30-Day Notice of Proposed Information Collection: Affidavit 
Regarding a Change of Name

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 information 
collection described below to the Office of Management and Budget (OMB) 
for approval. 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 
30 days for public comment.

DATES: Submit comments directly to the Office of Management and Budget 
(OMB) up to November 1, 2017.

ADDRESSES: Direct comments to the Department of State Desk Officer in 
the Office of Information and Regulatory Affairs at the Office of 
Management and Budget (OMB). You may submit comments by the following 
methods:
     Email: [email protected]. You must include the 
DS form number, information collection title, and the OMB control 
number in the subject line of your message.
     Fax: 202-395-5806. Attention: Desk Officer for Department 
of State.

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, by mail to: Alexys Stanley, U.S. Department of 
State, CA/PPT/S/L/LA, 44132 Mercure Cir, P.O. Box 1227, Sterling, VA 
20166-1227, by phone at (202) 485-6538, or by email at 
[email protected].

SUPPLEMENTARY INFORMATION:
     Title of Information Collection: Affidavit Regarding a 
Change of Name.
     OMB Control Number: 1405-0133.
     Type of Request: Revision of a Currently Approved 
Collection.
     Originating Office: Department of State, Bureau of 
Consular Affairs,

[[Page 45657]]

Passport Services, Office of Legal Affairs (CA/PPT/S/L/LA).
     Form Number: DS-60.
     Respondents: Individuals.
     Estimated Number of Respondents: 161,239.
     Estimated Number of Responses: 161,239.
     Average Time per Response: 40 minutes.
     Total Estimated Burden Time: 107,493 hours.
     Frequency: On occasion.
     Obligation to Respond: Required to Obtain a Benefit.
    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 Affidavit Regarding a Change of Name is submitted in 
conjunction with an application for a U.S. passport. It is used by 
Passport Services to collect information for the purpose of 
establishing that a passport applicant has adopted a new name without 
formal court proceedings or by marriage and 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. national applies for a U.S. passport.

Brenda S. Sprague,
Deputy Assistant Secretary for Passport Services, Bureau of Consular 
Affairs, Department of State.
[FR Doc. 2017-21025 Filed 9-28-17; 8:45 am]
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