Affidavit of Relationship

OMB Control No: 1405-0206	ICR Reference No: 202412-1405-003
Status: Received in OIRA	Previous ICR Reference No: 201507-1405-003
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Affidavit of Relationship
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/16/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,800	0
Time Burden (Hours)	2,800	0
Cost Burden (Dollars)	78,400	0

---

Abstract: The Affidavit of Relationship (AOR) will be required by the Department of State to establish qualifications for access to the Priority 3 Family Reunification category of the United States Refugee Admissions Program (USRAP) by persons of certain nationalities who are family members of qualifying persons already admitted to the U.S. as refugees or who were granted asylum in the U.S., including persons who may now be lawful residents or U.S. citizens.

---

Authorizing Statute(s): US Code: 8 USC 1157 Name of Law: Immigration Nationality Act

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12519	09/03/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12607	12/16/2024
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 2

IC Title Form No. Form Name Affidavit of Relationship DS-7656 Affidavit of Relationship Affidavit of Relationship DS-7656 Affidavit of Relationship

---

ICR Summary of Burden

	Total Request	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	2,800	0	0	-2,200	2,500	2,500
Annual Time Burden (Hours)	2,800	0	0	-2,200	2,500	2,500
Annual Cost Burden (Dollars)	78,400	0	0	-61,600	70,000	70,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The estimated annual number of respondents is 300 per fiscal year. The annual hour burden is estimated to be 450 hours, based on each respondent taking ninety minutes to complete the AOR. These estimates are based on AOR submissions from the previous fiscal years and consultation with RAs, which have experience with these collections.

---

Annual Cost to Federal Government: $180,800

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Daniel Carson 771 204-4835

---

Common Form ICR:  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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 12/16/2024

---