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Application to Determine Returning Resident Status
Application to Determine Returning Resident Status
OMB: 1405-0091
IC ID: 14917
OMB.report
STATE/AFA
OMB 1405-0091
ICR 202302-1405-004
IC 14917
( )
Documents and Forms
Document Name
Document Type
Form DS-117
Application to Determine Returning Resident Status
Form and Instruction
DS-117 Application to Determine Returning Resident Status
DS-0117.pdf
www.travel.state.gov
Form and Instruction
DS-117 Application to Determine Returning Resident Status
DS-0117.pdf
www.travel.state.gov
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application to Determine Returning Resident Status
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
22 CFR 42.22
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
DS-117
Application to Determine Returning Resident Status
DS-0117.pdf
www.travel.state.gov
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:
4,400
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
4,400
0
0
0
0
4,400
Annual IC Time Burden (Hours)
2,200
0
0
0
0
2,200
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.