Information Collection Request
Application to Determine Returning Resident Status
ICR 202302-1405-004 · OMB 1405-0091 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1405-0091 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form DS-117 Application to Determine Returning Resident Status |
Form and Instruction | Unchanged | Repair queued |
 11990_PublishedFR_02-13-2023.pdf |
Supplementary Document | Uploaded 2023-02-13 | Repair queued |
| 11899_PublishedFR_11-03-2022.pdf |
Supplementary Document | Uploaded 2023-02-13 | Repair queued |
 (004) Tab 3 -- Legal Authorities -- 30 Day Package -- DS-117.docx |
Supplementary Document | Uploaded 2023-02-13 | Repair queued |
| (003) Tab 2 -- Supporting Statement -- 30 Day Package -- DS-117.docx |
Supporting Statement A | Uploaded 2023-02-13 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 14917 |  Application to Determine Returning Resident Status |
Form and Instruction | Unchanged |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | STATE/AFA |
| OMB Control No | 1405-0091 |
| Type of Information Collection | Extension without change of a currently approved collection |
| Previous ICR Reference No | 201912-1405-003 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |