Federal Register / Vol. 75, No. 118 / Monday, June 21, 2010 / Notices 35119 

• OMB Control Number: No. 1405– 

0178. 

• Type of Request: Revision. 

• Originating Office: Bureau of 

Consular Affairs, Overseas Citizens 

Services (CA/OCS). 

• Form Number: DS–4079. 

• Respondents: United States 

Citizens. 

• Estimated Number of Respondents: 

1,132. 

• Estimated Number of Responses: 

1,132. 

• Average Hours per Response: 15 

minutes. 

• Total Estimated Burden: 283 hours. 

• Frequency: On occasion. 

• Obligation To Respond: Required to 

obtain or retain benefits. 

DATES: The Department will accept 

comments from the public up to 60 days 

from June 21, 2010. 

ADDRESSES: You may submit comments 

by any of the following methods: 

• E-mail: ASKPRI@state.gov. 

• Internet: http:// 

www.regulations.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): U.S. Department of State, 

CA/OCS/PRI, SA–29, 4th Floor, 

Washington, DC 20520. 

• Fax: 202–736–9111. 

• Hand Delivery or Courier: U.S. 

Department of State, CA/OCS/PRI, 2100 

Pennsylvania Avenue, 4th Floor, 

Washington, DC 20037. 

You must include the DS form number 

(if applicable), information collection 

title, and 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 information 

collection and supporting documents, to 

Derek A. Rivers, Bureau of Consular 

Affairs, Overseas Citizens Services (CA/ 

OCS/PRI), U.S. Department of State, 

SA–29, 4th Floor, Washington, DC 

20520, who may be reached on (202) 

647–3117 or ASKPRI@state.gov. 

SUPPLEMENTARY INFORMATION: 

We are soliciting public comments to 

permit the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper performance of 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 

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. 

Methodology: The information is 

collected in person, by fax, or via mail. 

The Bureau of Consular Affairs is 

currently exploring options to make this 

information collection available 

electronically. 

Dated: June 2, 2010. 

Mary Ellen Hickey, 

Managing Director, Overseas Citizens 

Services, Department of State. 

[FR Doc. 2010–14922 Filed 6–18–10; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice: 7063] 

60-Day Notice of Proposed Information 

Collection: Form DS–4085 Application 

for Additional Visa Pages or 

Miscellaneous Passport Services, OMB 

Control Number 1405–0159 

ACTION: Notice of request for public 

comments. 

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. 

We are conducting this process in 

accordance with the Paperwork 

Reduction Act of 1995. 

• Title of Information Collection: 

Application for Additional Visa Pages or 

Miscellaneous Passport Services. 

• OMB Control Number: 1405–0159. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, Passport Services CA/ 

PPT. 

• Form Number: DS–4085. 

• Respondents: Individuals or 

Households. 

• Estimated Number of Respondents: 

146,000 respondents per year. 

• Estimated Number of Responses: 

146,000 responses per year. 

• Average Hours per Response: 20 

minutes. 

• Total Estimated Burden: 48,700 

hours per year. 

• Frequency: On occasion. 

• Obligation to Respond: Required to 

Obtain or Retain a Benefit. 

DATES: The Department will accept 

comments from the public up to 60 days 

from June 21, 2010. 

ADDRESSES: You may submit comments 

by any of the following methods: 

• E-mail: PPT–FormsOfficer@state.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): Passport Forms 

Management Officer, U.S. Department of 

State, Office of Program Management 

and Operational Support, 2100 

Pennsylvania Avenue NW., Room 3031, 

Washington, DC 20037. 

You must include the DS form 

number (if applicable), information 

collection title, and 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 information 

collection and supporting documents, to 

Passport Forms Management Officer, 

U.S. Department of State, Office of 

Program Management and Operational 

Support, 2100 Pennsylvania Avenue 

NW., Room 3031, Washington, DC 

20037, who may be reached on 202– 

663–2457 or at PPT–FormsOfficer@state.gov. 

SUPPLEMENTARY INFORMATION: We are 

soliciting public comments to permit 

the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper performance of 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 

information collected on the DS–4085 is 

used to facilitate the issuance of 

additional visa pages to valid U.S. 

passports. The primary purpose of 

soliciting the information is to establish 

citizenship, identity, and entitlement of 

the applicant to the U.S. passport or 

related service, and to properly 

administer and enforce the laws 

pertaining to the issuance thereof. 

Methodology: Passport Services 

collects information from U.S. citizens 

and non-citizen nationals when they 

complete and submit the Application 


sroberts on DSKD5P82C1PROD with NOTICES
35120 Federal Register / Vol. 75, No. 118 / Monday, June 21, 2010 / Notices 

for Additional Visa Pages or 

Miscellaneous Passport Services. 

Passport applicants can either download 

the DS–4085 from the internet or obtain 

one from an Acceptance Facility/ 

Passport Agency. The form must be 

completed, signed, and submitted along 

with the applicant’s valid U.S. passport. 

Dated: June 14, 2010. 

Florence Fultz, 

Acting Deputy Assistant Secretary for 

Passport Services, Bureau of Consular Affairs, 

Department of State. 

[FR Doc. 2010–14923 Filed 6–18–10; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice 7061] 

60-Day Notice of Proposed Information 

Collection: Form DS–11 Application for 

a U.S. Passport, OMB Control Number 

1405–0004 

ACTION: Notice of request for public 

comments. 

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. 

We are conducting this process in 

accordance with the Paperwork 

Reduction Act of 1995. 

• Title of Information Collection: 

Application for a U.S. Passport. 

• OMB Control Number: 1405–0004. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, Passport Services CA/ 

PPT. 

• Form Number: DS–11. 

• Respondents: Individuals or 

Households. 

• Estimated Number of Respondents: 

12.5 million respondents per year. 

• Estimated Number of Responses: 

12.5 million responses per year. 

• Average Hours Per Response: 85 

minutes. 

• Total Estimated Burden: 17,708,300 

per year. 

• Frequency: On occasion. 

• Obligation to Respond: Required to 

Obtain or Retain a Benefit. 

DATES: The Department will accept 

comments from the public up to 60 days 

from June 21, 2010. 

ADDRESSES: 

You may submit comments by any of 

the following methods: 

• E-mail: PPT-FormsOfficer@state.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): Passport Forms 

Management Officer, U.S. Department of 

State, Office of Program Management 

and Operational Support, 2100 

Pennsylvania Avenue NW., Room 3031, 

Washington, DC 20037. 

You must include the DS form 

number (if applicable), information 

collection title, and 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 information 

collection and supporting documents, to 

Passport Forms Management Officer, 

U.S. Department of State, Office of 

Program Management and Operational 

Support, 2100 Pennsylvania Avenue 

NW., Room 3031, Washington, DC 

20037, who may be reached on 202– 

663–2457 or at PPT-FormsOfficer@state.gov. 

SUPPLEMENTARY INFORMATION: 

We are soliciting public comments to 

permit the Department to: 

• Evaluate whether the proposed 

information collection is necessary for 

the proper performance of 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 information collected on the DS– 

11 is used to facilitate the issuance of 

passports to U.S. citizens and nationals. 

The primary purpose of soliciting the 

information is to establish citizenship, 

identity, and entitlement to the issuance 

of the U.S. passport or related service, 

and to properly administer and enforce 

the laws pertaining to the issuance 

thereof. 

Methodology: 

Passport Services collects information 

from U.S. citizens and non-citizen 

nationals when they complete and 

submit the Application for a U.S. 

Passport. Passport applicants can either 

download the DS–11 from the internet 

or obtain one from an Acceptance 

Facility/Passport Agency. The form 

must be completed, executed at an 

acceptance facility or passport agency, 

and submitted with evidence of 

citizenship and identity. 

Dated: June 14, 2010. 

Florence Fultz, 

Acting Deputy Assistant Secretary for 

Passport Services, Bureau of Consular Affairs, 

Department of State. 

[FR Doc. 2010–14921 Filed 6–18–10; 8:45 am] 

BILLING CODE 4710–06–P 

DEPARTMENT OF STATE 

[Public Notice 7059] 

60-Day Notice of Proposed Information 

Collection: Form DS–3053, Statement 

of Consent or Special Circumstances: 

Issuance of a Passport to a Minor 

Under Age 16, OMB Control Number 

1405–0129 

ACTION: Notice of request for public 

comments. 

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. 

We are conducting this process 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 16. 

• OMB Control Number: 1405–0129. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, Passport Services CA/ 

PPT. 

• Form Number: DS–3053. 

• Respondents: Individuals or 

Households. 

• Estimated Number of Respondents: 

1,025,000 respondents per year. 

• Estimated Number of Responses: 

1,025,000 responses per year. 

• Average Hours Per Response: 1 

Hour. 

• Total Estimated Burden: 1,025,000 

hours per year. 

• Frequency: On occasion. 

• Obligation to Respond: Required to 

Obtain or Retain a Benefit. 

DATES: The Department will accept 

comments from the public up to 60 days 

from June 21, 2010. 

ADDRESSES: 

You may submit comments by any of 

the following methods: 

• E-mail: PPT-FormsOfficer@state.gov. 

• Mail (paper, disk, or CD–ROM 

submissions): Passport Forms 

Management Officer, U.S. Department of 

State, Office of Program Management 


sroberts on DSKD5P82C1PROD with NOTICES