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###### Department of State

          - [Public Notice: 10143]

# ACTION:

Notice of request for public comment and submission to OMB of proposed collection of information.

# 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: oira_submission@omb.eop.gov . 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                        *PPTFormsOfficer@state.gov*.                    

# 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,                            ( print 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]

BILLING CODE 4710-06-P