PASSPORT NUMBER 25. PASSPORT ISSUE DATE 27. DOCUMENT S INCLUDED WITH PASSPORT/VISA 28. VISA REQUESTED FOR Country DD FORM 1056 MAY 2016 MAILED OR PICKED UP 26. Complete 20- 22 if Passport Agent is different from Authorizing Official and submit with passport or visa application. DD FORM 1056 INSTRUCTIONS MAY 2016 PREVIOUS EDITION IS OBSOLETE. Adobe Designer 11 OMB No. 0702-0134 OMB approval expires Apr 30 2019 The public reporting burden for this collection of information is estimated to average 60 minutes per response including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information including suggestions for reducing the burden to the Department of Defense Washington Headquarters Services Executive Services Directorate Information Management Division 4800 Mark Center Drive Alexandria VA 22350-3100 0702-0134. This form must be completed electronically or typed* See DoD 1000. 21 for form completion instructions. AUTHORIZATION TO APPLY FOR A NO-FEE PASSPORT AND/OR REQUEST FOR VISA PRIVACY ACT STATEMENT AUTHORITY 10 U*S*C. 113 Secretary of Defense 32 CFR part 46 Passport and Passport Agent Services DoD 1000. 21-R Passport and Passport Agent Services Regulation and E*E* 9397 SSN as amended* PRINCIPAL PURPOSE S To provide authority for the issuance of a No-fee passport and/or foreign visa s. In processing the Social Security Number is used to identify and verify the identity of the applicant or sponsor. The applicable system of record notice is A0 1000. 21 OAA DoD Visa Passport Automated System VPAS and can be found at ROUTINE USES To the Department of State for the issuance of a no-fee passport a Status of Forces Agreement SOFA stamp or to foreign embassies to obtain a foreign entry visa* To a Federal State local government or foreign agency as a routine use in response to such an agency s request for information arising by general statute or particular program statute or by regulation rule or order issued pursuant thereto if necessary and only to the extent necessary to enable such agency to discharge its responsibilities of enforcing or implementing the statute. The DoD Blanket Routine Uses set forth at the beginning of the Army s compilation of systems of records notices may apply to this system* The complete list of DoD blanket routine uses can be found online at http //dpcld. defense. gov/Privacy/SORNsIndex/BlanketRoutineUses. aspx. DISCLOSURE Providing your Social Security Number and other information on this form is voluntary but failure to provide your Social Security Number or other information requested on this form may result in processing delays or denial of your application* INSTRUCTIONS APPLICANT AND SPONSOR INFORMATION Date Passport or Visa Required by Applicant. Indicate the date the passport will be needed by the applicant. Major Service Component. USA for Army USN for Navy USAF for Air Force USMC for Marine Corps.
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