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OMB Control No: 1405-0091	ICR Reference No: 202605-1405-001
Status: Received in OIRA	Previous ICR Reference No: 202302-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Application to Determine Returning Resident Status
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 05/07/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	05/31/2026
Responses	8,600	4,400
Time Burden (Hours)	4,300	2,200
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	8,600	4,400	-200	4,400
Annual Time Burden (Hours)	4,300	2,200	-100	2,200
Annual Cost Burden (Dollars)	0	0	0	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The time burden per response is 30 minutes, with a total hour time burden of 2,100 hours (30 minutes x 4200 responses).

Annual Cost to Federal Government: $560,112

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: Anabel Moreno-Mendez 571 720-4400

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