[Federal Register Volume 82, Number 9 (Friday, January 13, 2017)]
[Notices]
[Pages 4449-4450]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00665]


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DEPARTMENT OF STATE

[Public Notice: 9792]


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

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 February 13, 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, 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.

[[Page 4450]]

     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.

Michelle Bernier-Toth,
Managing Director, Bureau of Consular Affairs, Overseas Citizens 
Services, Department of State.
[FR Doc. 2017-00665 Filed 1-12-17; 8:45 am]
 BILLING CODE 4710-06-P