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60-Day Notice of Proposed Information Collection: DS 5507, Affidavit of Physical Presence or Residence, Parentage and Support

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Notice of request for public comments.


The Department of State is seeking Office of Management and Budget (OMB) approval for the information collection described below. The purpose of this notice is to allow 60 days for public comment in the Federal Register preceding submission to OMB. We are conducting this process in accordance with the Paperwork Reduction Act of 1995.

  • Title of Information Collection: DS 5507, Affidavit of Physical Presence or Residence, Parentage and Support.
  • OMB Control Number: OMB No. 1405-0187.
  • Type of Request: Revision.
  • Originating Office: Bureau of Consular Affairs, Overseas Citizens Services (CA/OCS).
  • Form Number: DS-5507.
  • Respondents: United States Citizens.
  • Estimated Number of Respondents: 17,784.
  • Estimated Number of Responses: 17,784.
  • Average Hours per Response: 30 minutes.
  • Total Estimated Burden: 8,892 hours.
  • Frequency: On Occasion.
  • Obligation to Respond: Application for Benefits. Although acquisition of citizenship is not a federal “benefit,” applicants will not be able to obtain citizenship for their child(ren) if they do not provide the information requested in the form.


The Department will accept comments from the public up to 60 days from January 31, 2012.


You may submit comments by any of the following methods:

  • Email:
  • Mail (paper, disk, or CD-ROM submissions): U.S. Department of State, CA/OCS/PRI, SA-29, 4th Floor, Washington, DC 20520.
  • Fax: 202-736-9111.
  • Hand Delivery or Courier: U.S. Department of State, CA/OCS/PRI, 2100 Pennsylvania Avenue, 4th Floor, Washington, DC 20037.

You must include the DS form number (if applicable), information collection title, and OMB control number in any correspondence.


Direct requests for additional information regarding the collection listed in this notice, including requests for copies of the proposed information collection and supporting documents, to Derek A. Rivers, Bureau of Consular Affairs, Overseas Citizens Services (CA/OCS/PRI), U.S. Department of State, SA-29, 4th Floor, Washington, DC 20520 or at


We are soliciting public comments to permit the Department to:

  • Evaluate whether the proposed information collection is necessary for the proper performance of our functions.
  • Evaluate the accuracy of our estimate of the burden of the proposed collection, including the validity of the methodology and assumptions used.
  • Enhance the quality, utility, and clarity of the information to be collected.
  • Minimize the reporting burden on those who are to respond, including the use of automated collection techniques or other forms of technology.

Abstract of Proposed Collection

The purpose of the information collection is to determine if a U.S. citizen/national parent possesses the requisite physical presence or residence in the United States prior to their child's birth to transmit U.S. citizenship 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.


The information is collected in person. The Bureau of Consular Affairs is currently exploring options to make this information collection available electronically.

Dated: December 21, 2011.

Michelle Bernier-Toth,

Managing Director, Bureau of Consular Affairs, Department of State.

[FR Doc. 2012-2079 Filed 1-30-12; 8:45 am]