Affidavit of Parentage, Physical Presence and Support

ICR 200905-1405-003

OMB: 1405-0187

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
New
Supplementary Document
2009-05-20
Supporting Statement A
2009-05-20
IC Document Collections
ICR Details
1405-0187 200905-1405-003
Historical Active
STATE/AFA
Affidavit of Parentage, Physical Presence and Support
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/19/2009
Retrieve Notice of Action (NOA) 05/20/2009
  Inventory as of this Action Requested Previously Approved
06/30/2012 36 Months From Approved
15,026 0 0
7,513 0 0
0 0 0

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.

US Code: 8 USC 1104, 1401, 1408, 1409 Name of Law: Aliens and Nationality
   US Code: 22 USC 211, 213 Name of Law: Foreign Relations and Intercourse
  
None

Not associated with rulemaking

  73 FR 229 11/26/2008
74 FR 91 05/13/2009
No

1
IC Title Form No. Form Name
Affidavit of Parentage, Physical Presence and Support DS-5507 Affidavit of Parentage, Physical Presence and Support

  Total Approved 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 15,026 0 0 15,026 0 0
Annual Time Burden (Hours) 7,513 0 0 7,513 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Burden change indicated is due to the creation of this new collection

$50,788
No
No
Uncollected
Uncollected
No
Uncollected
Derek Rivers 202 736-9082 RiversDA@state.gov

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
05/20/2009


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