Information Collection

Application to Determine Returning Resident Status

IC 14917 under ICR 200707-1405-004 · OMB 1405-0091.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0091 can be found here:

Documents and Forms

Document Name Document Type
Form DS-117 Application to Determine Returning Resident Status Form and Instruction
DS-117 Application to Determine Returning Resident Status ds0117.pdf www.travel.state.gov Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application to Determine Returning Resident Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 42.22

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-117	Application to Determine Returning Resident Status	ds0117.pdf	www.travel.state.gov	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 876	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	875	875
Annual IC Time Burden (Hours)	438	438
Annual IC Cost Burden (Dollars)	315,000	315,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.