OMB Control Number #1405-0228
Expiration Date 3/31/2021
Estimated burden: 45 minutes per response
As of September 1, 2017, U.S. passports will not be valid for travel to, in, or through North Korea (also known as Democratic People's Republic of Korea, or DPRK).
The U.S. Department of State may grant an exception to qualified applicants by issuing a passport with a special validation that will be valid for only one trip. These specific, one-time-use validations will be issued on an extremely limited basis.
Travel to, in, or through North Korea on a U.S. passport without this special validation may justify revocation of your passport for misuse under 22 C.F.R. § 51.62(a)(2) and may subject you to felony prosecution under 18 U.S.C. § 1544 or other applicable laws.
We will only issue a Special Validation Passport if your trip is in the national interest, and you meet all other passport eligibility requirements.
Your trip might be in the national interest if any of the following are true:
If your trip falls into one of the above categories, you may be eligible for a Special Validation Passport. By providing the following information, you are acknowledging the Privacy Act Statement included below.
1. First, we must verify your eligibility. Please send the following information by email to PPTSpecialValidations@state.gov or by mail to:
Special Validations, U.S. Department of State, CA/PPT/L/LA
44132 Mercure Circle, P.O. Box 1227
Sterling, VA 20166-1227
Please send the following information:
2. You will receive notification if your request is approved or denied. According to 22 C.F.R. § 51.70(b)(4), if your request is denied, there is no further review of this decision.
3. If approved, we will send you a letter at the mailing address or email address you provided certifying your eligibility for travel to North Korea.
4. You must then use that letter to apply for your one-time-use Special Validation Passport and submit all applicable fees. We will include application instructions in your notification of approval.
Privacy Act Statement
AUTHORITIES: Collection of this information is authorized by 22 U.S.C. 211a et seq, 8 U.S.C. 1104, Executive Order 11295 (August 5, 1966); and 22 C.F.R. parts 50 and 51.
PURPOSE: We are requesting this information in order to determine your eligibility to be issued a U.S. passport containing a special validation.
ROUTINE USES: This information may be disclosed to another domestic government agency, a private contractor, a foreign government agency, or to a private person or private employer in accordance with certain approved routine uses. These routine uses include, but are not limited to, law enforcement activities, employment verification, fraud prevention, border security, counterterrorism, litigation activities, and activities that meet the Secretary of State's responsibility to protect U.S. citizens and non-citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State-05, Overseas Citizens Services Records and Other Overseas Records and State-26, Passport Records.
DISCLOSURE: Providing information is voluntary. Be advised, however, that failure to provide the information requested on this form may cause delays in processing your request and/or could result in the refusal or denial of your request.
Paperwork Reduction Act Statement
Public reporting burden for this collection of information is estimated to average 45 minutes per response, including the time required for searching existing data sources, gathering the necessary data, providing the information and/or documents required, and reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to:
U.S. Department of State
Bureau of Consular Affairs
Passport Services, Office of Legal Affairs
44132 Mercure Cir, P.O. Box 1227
Sterling, Virginia 20166-1227.