View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1405-0187	ICR Reference No: 201811-1405-001
Status: Historical Active	Previous ICR Reference No: 201510-1405-003
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
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/22/2020
	Date Received in OIRA: 11/08/2018
Terms of Clearance: The agency provided additional clarifications regarding the operation of this information collection and its relationship to the DS-2029. (1405-0011). The agency should ensure that instructions on the DS-2029 are reflective of this Supporting Statement's guidance surrounding minimizing the collection of duplicative information on the two forms.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	36 Months From Approved	06/30/2020
Responses	17,950	0	17,716
Time Burden (Hours)	8,975	0	8,858
Cost Burden (Dollars)	360,516	0	361,566

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	17,950	17,716	234
Annual Time Burden (Hours)	8,975	8,858	117
Annual Cost Burden (Dollars)	360,516	361,566	-1,050

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The number of respondents varies from year to year depending on the number of children born abroad to U.S. nationals in a given year. Based on the average number of respondents in the past three years, the number of respondents is estimated to have increased to 17,950 from 17,716 with an associated increase in burden to 8,975 hours. Also, the costs to the government projected fiscal numbers has decreased because the hourly rate for Consular Officer time has changed since the last renewal.

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

Agency Contact: Maya Badiat 202 485-6530

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