Information Collection

Affidavit of Physical Presence or Residence, Parentage, and Support

IC 260882 under ICR 202306-1405-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Physical Presence or Residence, Parentage, and Support Form and Instruction
DS-5507 Affidavit of Physical Presence or Residence, Parentage, Tab 6B. DS-5507_Expires 063023_OMB No. 1405-0187_30 Day FRN_PDF Fillable Draft.pdf Form and Instruction
DS-5507 Affidavit of Physical Presence or Residence, Parentage, Tab 6B. DS-5507_Expires 063023_OMB No. 1405-0187_30 Day FRN_PDF Fillable Draft.pdf Form and Instruction
Tab 5B. DS-5507_OMB No. 1405-0187_30 Day FRN_Legal Authorities.docx Legal Authorities IC Document
Tab 5B. DS-5507_OMB No. 1405-0187_30 Day FRN_Legal Authorities.docx Legal Authorities IC Document
Tab 4B. DS-5507_OMB No. 1405-0187_30 Day FRN_PRA Supporting Statement.docx Supporting Statement IC Document
Tab 4B. DS-5507_OMB No. 1405-0187_30 Day FRN_PRA Supporting Statement.docx Supporting Statement IC Document

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

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	Tab 6B. DS-5507_Expires 063023_OMB No. 1405-0187_30 Day FRN_PDF Fillable Draft.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Affidavit of Physical Presence or Residence, Parentage, and Support	FR Citation: 88 FR 12092

Number of Respondents: 45,869	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
Annual Number of Responses for this IC	45,869	45,869
Annual IC Time Burden (Hours)	22,935	22,935
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Legal Authorities	Tab 5B. DS-5507_OMB No. 1405-0187_30 Day FRN_Legal Authorities.docx	06/28/2023
Supporting Statement	Tab 4B. DS-5507_OMB No. 1405-0187_30 Day FRN_PRA Supporting Statement.docx	06/28/2023

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