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OMB CONTROL NO. 1405-0187
EXPIRES: 07/31/2024
Estimated Burden: 30 minutes
AFFIDAVIT OF PHYSICAL PRESENCE OR RESIDENCE,
PARENTAGE, AND SUPPORT
The form DS-5507, Affidavit of Physical Presence or Residence, Parentage, and Support, is used in adjudicating claims to U.S.
citizenship/non-citizen U.S. nationality by birth abroad to U.S. citizen and/or non-citizen U.S. national parents. The form DS-5507 is
supporting evidence for a claim to U.S. citizenship/non-citizen U.S. nationality.
Note: Part II and III of this document must be signed before a Consular Officer, Passport Specialist, or Designated
Consular/Acceptance Agent at the time the oath is sworn. A U.S. Consular Officer or Passport Specialist may require additional
evidence of one’s biological relationship to one’s child and/or evidence of one’s physical presence or residence in the United States.
PART I. The affiant (the U.S. citizen/non-citizen U.S. national parent) must complete this section which includes providing the
affiant’s information as follows:
a. full name
b. marital status
c. U.S. citizen/non-citizen U.S. national status
d. full name, date of birth, and place of birth of your biological child(ren)
e. physical presence or residence in the United States
f. physical presence or residence abroad
g. name of the other biological parent, her/his citizenship status, and physical presence or residence in the United States
PART II. If the biological child(ren) were (was) born out of wedlock and claims acquisition of U.S. citizenship through the father, the
child(ren)’s father must sign this section.
PART III. The affiant parent must sign this section and provide her/his street address and telephone number.
AUTHORITY: The Department of State is authorized to collect this information pursuant to 8 U.S.C. §§ 1104(a), 1401, 1408 and
1409, and 22 U.S.C. §§ 211a, 213 and 2705.
PURPOSE: The principal purpose of the information gathered is to assist in determining whether a U.S. national biological parent of
a child born abroad or in a United States territory has met the statutory physical presence or residence requirements for his or her
child to acquire U.S. nationality at birth; and whether a U.S. national father of a child born abroad out of wedlock has met additional
requirements of8 U.S.C. § 1409(a) in relation to biological parentage and legal relationship with and financial support of his child
born abroad out of wedlock, in order for such child to acquire U.S. citizenship at birth.
ROUTINE USES: The information solicited on this form may be made available to Federal government entities such as the Social
Security Administration, the Department of Homeland Security, and Department of Justice, in connection with determinations of
citizenship status, administration of federal benefits, and law enforcement purposes as
set forth in the System of Records Notices for Overseas Citizens Services Records and Other Overseas Records, State-05, 81 FR
62235-62239 (2016); Passport Records, State-26, 80 FR 15653 (2015); and the Department-wide Prefatory Statement of Routine
Uses, 73 FR 40649-40651 (2008). Information also can be made available to appropriate federal, state, local or foreign government
entities, such as state law enforcement agencies, state prosecutors, judicial staff, and Interpol, in connection with law enforcement,
safety, welfare and related matters, as set forth in the aforementioned System of Records Notices. Furnishing the information on
this form is voluntary; however, failure to furnish the requested information may delay or prevent you from documenting your child
as a U.S.
False statements made knowingly and willfully in applications for citizenship documentation or affidavits and other supporting
documents are punishable by fine and/or imprisonment under the provisions of 18 USC 1001 and other applicable criminal statutes.
PAPERWORK REDUCTION ACT (PRA) STATEMENT
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for
searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and
reviewing the final collection. You do not have to supply this information unless this collection displays a currently valid OMB control
number. If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them
to: U.S. Department of State, Bureau of Consular Affairs, Passport Services, Office of Program Management and Operational
Support, 44132 Mercure Cir, P.O. Box 1199, Sterling, VA 20166-1199.