[Federal Register Volume 82, Number 76 (Friday, April 21, 2017)]
[Page 18807]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-08081]



[Public Notice: 9952]

60-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.


SUMMARY: The Department of State is seeking Office of Management and 
Budget (OMB) approval for the information collection described below. 
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 60 days for 
public comment preceding submission of the collection to OMB.

DATES: The Department will accept comments from the public up to June 
20, 2017.

ADDRESSES: You may submit comments by any of the following methods:
     Web: Persons with access to the Internet may comment on 
this notice by going to www.Regulations.gov. You can search for the 
document by entering ``Docket Number: DOS-2017-0014 in the Search 
field. Then click the ``Comment Now'' button and complete the comment 
     Email: [email protected].
    You must include the DS form number (if applicable), information 
collection title, and the 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 collection instrument and 
supporting documents, by mail to PPT Forms Officer, U.S. Department of 
State, CA/PPT/S/L 44132 Mercure Cir, P.O. Box 1227 Sterling, VA 20166-
1227, or [email protected].

     Title of Information Collection: Affidavit Regarding a 
Change of Name.
     OMB Control Number: 1405-0133.
     Type of Request: Revision of a Currently Approved 
     Originating Office: Department of State, Bureau of 
Consular Affairs, Passport Services, Office of Legal Affairs and Law 
Enforcement Liaison (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 collects 
information that the Department uses to establish that an applicant for 
a U.S. passport 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).


    When needed, the Affidavit Regarding a Change of Name is completed 
at the time a U.S. citizen applies for a U.S. passport.

Brenda S. Sprague,
Deputy Assistant Secretary for Passport Services, Bureau of Consular 
Affairs, Department of State.
[FR Doc. 2017-08081 Filed 4-20-17; 8:45 am]