Information Collection

Affidavit of Parentage, Physical Presence and Support

IC 189229 under ICR 201510-1405-003 · OMB 1405-0187.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0187 can be found here:

Documents and Forms

Document Name Document Type
Form DS-5507 Affidavit of Parentage, Physical Presence and Support Form and Instruction
DS-5507 AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, PARENTAGE A DS5507 (9-18-2015).pdf www.state.gov/m/a/dir/forms/c21447.htm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidavit of Parentage, Physical Presence and Support	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-5507	AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, PARENTAGE AND SUPPORT	DS5507 (9-18-2015).pdf	http://www.state.gov/m/a/dir/forms/c21447.htm	Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,716	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	17,716	-68	17,784
Annual IC Time Burden (Hours)	8,858	-34	8,892
Annual IC Cost Burden (Dollars)	361,566	361,566	0

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.