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Get DS-117 2004

Provide on this form to determine your eligibility for returning resident status. Individuals who fail to submit this form or who do not provide all the requested information may be denied returning resident status. Upon your return to the United States in immigrant status, the information collected will be protected from disclosure under the Privacy Act. *Public reporting burden for this collection of information is estimated to average 30 minutes per response, including time required for searc.

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