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Affidavit of Parentage, Physical Presence and Support
Affidavit of Physical Presence or Residence, Parentage and Support
OMB: 1405-0187
IC ID: 189229
OMB.report
STATE/AFA
OMB 1405-0187
ICR 201206-1405-001
IC 189229
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0187 can be found here:
2023-06-28 - Revision of a currently approved collection
2018-11-08 - Revision of a currently approved collection
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
DS-5507 (6-2012).pdf
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
DS-5507 (6-2012).pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
International Affairs and Commerce
Subfunction:
Foreign Affairs
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
17,784
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
17,784
0
0
2,758
0
15,026
Annual IC Time Burden (Hours)
8,892
0
0
1,379
0
7,513
Annual IC Cost Burden (Dollars)
0
0
0
0
0
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.