Information Collection

Record of Abandonment of Lawful Permanent Resident Status

IC 212463 under ICR 201701-1615-006 · OMB 1615-0130.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0130 can be found here:

Documents and Forms

Document Name Document Type
Form I-407 Record of Abandonment of Lawful Permanent Resident Status Form
I407-INS-EXT+PAS-30Day-03232017.pdf Instruction
Public Web Site Info - form I-407.docx Other-Web Site Information for Form
I-407 Record of Abandonment of Lawful Permanent Resident Statu I407-FRM-EXT+PAS-30Day-03232017.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Record of Abandonment of Lawful Permanent Resident Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-407	Record of Abandonment of Lawful Permanent Resident Status	I407-FRM-EXT+PAS-30Day-03232017.pdf	Yes	No	Fillable Printable
Instruction			I407-INS-EXT+PAS-30Day-03232017.pdf	Yes	No	Printable Only
Other-Web Site Information for Form I-407			Public Web Site Info - form I-407.docx	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS- 007 Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 12,527	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,527	3,156	9,371
Annual IC Time Burden (Hours)	3,132	789	2,343
Annual IC Cost Burden (Dollars)	3,069,115	3,069,115	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.