Information Collection

Application to Determine Returning Resident Status

IC 280366 under ICR 202605-1405-001 · OMB 1405-0091.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form DS-117 Application to Determine Returning Resident Status Application to Determine Returning Resident Status	Form and Instruction
DS-117 Application to Determine Returning Resident Status (005) Tab 4 -- Copy of DS-117 - 30-Day PRA - DS-117 - 2026.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 22 CFR 42.22

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	DS-117				Yes	Yes	Fillable Printable

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title: Application to Determine Returning Resident Status

FR Citation: 91 FR 13005

Number of Respondents: 4,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	4,200	-200	4,400
Annual IC Time Burden (Hours)	2,100	-100	2,200
Annual IC Cost Burden (Dollars)	0	0	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.

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