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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.