Affidavit of Physical Presence or Residence, Parentage and Support

Forms and Documents

Document Name	Status
Form DS-5507 Affidavit of Parentage, Physical Presence and Support Form and Instruction	New
Form DS-5507 Affidavit of Physical Presence or Residence, Parentage, and Support Form and Instruction	Unchanged
Form DS-5507 Affidavit of Parentage, Physical Presence and Support Form and Instruction	Unchanged
DS-5507_OMB No. 1405-0187_Justification for Change.docx Supplementary Document	2025-01-21
Tab 4B. DS-5507_OMB No. 1405-0187_30 Day FRN_PRA Supporting Statement.docx Supporting Statement A	2023-12-15
Legal Authorities.docx Supplementary Document	2018-11-08

IC Document Collections

IC ID	Document Title	Status
273797	Affidavit of Parentage, Physical Presence and Support Form and Instruction	New
260882	Affidavit of Physical Presence or Residence, Parentage, and Support Form and Instruction	Unchanged
189229	Affidavit of Parentage, Physical Presence and Support Form and Instruction	Unchanged

ICR Details

OMB Control No: 1405-0187	ICR Reference No: 202501-1405-003
Status: Received in OIRA	Previous ICR Reference No: 202306-1405-005
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Affidavit of Physical Presence or Residence, Parentage and Support
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 01/21/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	81,769	63,819
Time Burden (Hours)	40,885	31,910
Cost Burden (Dollars)	721,032	360,516

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Abstract: The purpose of the information collection is to determine if U.S. citizen/national parent(s) possesses the requisite physical presence or residence in the United States prior to their child's birth to transmit U.S. citizenship (or U.S. non-citizen nationality) to the child, to establish parentage of the child, and to fulfill the requirements of 8 U.S.C. 1409(a) which requires a written statement of financial support to be provided by U.S. citizen fathers for children born out of wedlock.

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Authorizing Statute(s): US Code: 8 USC 1401, 1408, 1409 Name of Law: Aliens and Nationality
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 11983	02/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 12092	06/22/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Affidavit of Parentage, Physical Presence and Support	DS-5507	AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE, PARENTAGE AND SUPPORT
Affidavit of Parentage, Physical Presence and Support	DS-5507	Affadavit of Physial Presence or Residence, Parentage, and Support
Affidavit of Physical Presence or Residence, Parentage, and Support	DS-5507	Affidavit of Physical Presence or Residence, Parentage, and Support

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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	81,769	63,819	0	0	17,950	0
Annual Time Burden (Hours)	40,885	31,910	0	0	8,975	0
Annual Cost Burden (Dollars)	721,032	360,516	0	0	360,516	0

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: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $605,812

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

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Common Form ICR:  No

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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: 01/21/2025

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