Federal Register / Vol. 70, No. 3 / Wednesday, January 5, 2005 / Notices 935

12 17 CFR 200.30–3(a)(12).

For the Commission, by the Division of 

Market Regulation, pursuant to delegated 

authority.12

Margaret H. McFarland, 

Deputy Secretary.

[FR Doc. 05–126 Filed 1–4–05; 8:45 am] 

BILLING CODE 8010–01–M

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. 

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: 

Alexander_T._Hunt@omb.eop.gov. 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 

dicksonma@state.gov.

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

DEPARTMENT OF STATE

[Public Notice: 4948] 

30-Day Notice of Proposed Information 

Collection: DS–60, Affidavit Regarding 

a Change of Name, OMB Control 

Number 1405–0133

ACTION: Notice of request for public 

comment and submission to OMB of 

proposed collection of information. 

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:

Affidavit Regarding A Change of Name. 

• OMB Control Number: 1405–0133. 

• Type of Request: Revision of a 

Currently Approved Collection. 

• Originating Office: Bureau of 

Consular Affairs, CA/PPT/FO/FC. 

• Form Number: DS–60. 

• Respondents: U.S. citizens. 

• Estimated Number of Respondents:

106,800 per year. 

• Estimated Number of Responses:

106,800 per year. 

• Average Hours Per Response: .25 

(15 minutes). 

• Total Estimated Burden: 26,700 

hours per year. 

• 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: 

Alexander_T._Hunt@omb.eop.gov. 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 or at 

dicksonma@state.gov.

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 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 

Affidavit Regarding a Change of Name is 

submitted in conjunction with an 

application for a U.S. passport. It is used