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Federal forms, ICRs, and supporting documents

Information Collection Request

Affidavit of Physical Presence or Residence, Parentage and Support

ICR 201510-1405-003 · OMB 1405-0187 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form DS-5507 Affidavit of Parentage, Physical Presence and Support Form and Instruction Modified Available
Legal Authorities.docx Supplementary Document Uploaded 2015-10-02 Repair queued
Master Supporting Statement OIRA passback DS 5507.docx Supporting Statement A Uploaded 2015-10-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
189229 Affidavit of Parentage, Physical Presence and Support Form and Instruction Modified
ICR Details
1405-0187 201510-1405-003
Historical Active 201206-1405-001
STATE/AFA
Affidavit of Physical Presence or Residence, Parentage and Support
Revision of a currently approved collection   No
Regular
Approved with change 11/02/2015
Retrieve Notice of Action (NOA) 10/02/2015
  Inventory as of this Action Requested Previously Approved
11/30/2018 36 Months From Approved 12/31/2015
17,716 0 17,784
8,858 0 8,892
361,566 0 0
The purpose of the information collection is to determine if U.S. citizen/national parent(s) possesses the requisite physical presence or residence in the United States prior to their child's birth to transmit U.S. citizenship (or U.S. non-citizen nationality) to the child, to establish parentage of the child, and to fulfill the requirements of 8 U.S.C. 1409(a) which requires a written statement of financial support to be provided by U.S. citizen fathers for children born out of wedlock.
US Code: 8 USC 1401, 1408, 1409 Name of Law: Aliens and Nationality
  
None
Not associated with rulemaking
  80 FR 37034 06/29/2015
80 FR 59220 10/01/2015
No
1
IC Title Form No. Form Name
Affidavit of Parentage, Physical Presence and Support DS-5507 AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, PARENTAGE AND SUPPORT
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 17,716 17,784 0 -68 0 0
Annual Time Burden (Hours) 8,858 8,892 0 -34 0 0
Annual Cost Burden (Dollars) 361,566 0 0 361,566 0 0
No
Yes
Miscellaneous Actions
The number of respondents varies from year to year depending on the number of citizens who may have transmitted U.S. citizenship to their child(ren) born abroad. Based on the average number of respondents in the past three years (FY12-FY14), the number of respondents is estimated to have decreased to 17,716 with an associated decrease in burden to 8,858 hours (17,716 respondents per year x 30 minutes burden per respondent/60 minutes = 8,858 hours).
$941,736
No
No
No
No
No
Uncollected
Pamela Watkins 202 312-9611 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/02/2015