30-Day Notice of Proposed Information Collection: DS-60, Affidavit Regarding a Change of Name, OMB Control Number 1405-0133

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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. Form Number: DS-60. Respondents: Individuals or households. Estimated Number of Respondents: 202,920 per year. Estimated Number of Responses: 202,920 per year. Average Hours per Response: 15 minutes. Total Estimated Burden: 50,730 hours. Frequency: On occasion. Obligation to Respond: Required to Obtain or Retain a Benefit.