AUTHORITIES: The information solicited on this form is requested pursuant to provisions in Titles 8, 18, and 22 of the United States Code, whether or not codified,
including specifically 22 U.S.C. 211a, 212, and 213, and all regulations issued pursuant to Executive Order 11295 (August 5, 1966), including Part 51, Title 22, Code of
Federal Regulations (CFR). Also, as noted, 26 U.S.C. 6039E.
PURPOSE: The primary purpose for soliciting the information is to establish citizenship, identity, and entitlement to issuance of a U.S. passport. The information may also be
used in connection with issuing other travel documents or evidence of citizenship, and in furtherance of the Secretary's responsibility for the protection of U.S. nationals abroad.
ROUTINE USES: The information solicited on this form may be made available as a routine use to other government agencies to assist the U.S. Department of State in
adjudicating passport applications, and for law enforcement and administrative purposes. It may also be disclosed pursuant to court order. The information may be made
available to foreign government agencies to fulfill passport control and immigration duties or to investigate or prosecute violations of law. The information may also be made
available to private U.S. citizen 'wardens' designated by U.S. embassies and consulates.
Failure to provide the information requested on this form may also result in the denial of a United States passport, related document, or service to the individual seeking such
passport, document, or service.
*Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time required for searching existing data
sources, gathering the necessary data, providing the information required, and reviewing the final collection. You do not have to provide the information unless this
collection displays a currently valid OMB number. Send comments on the accuracy of this estimate of the burden and recommendations for reducing it to: U.S.