Approved
consistent with INS's changes of 6/25/01 and on the condition that
INS place the expiration date on the form. INS has been using this
form in violation of the Paperwork Reduction Act and INS shall
ensure that this form and all other forms are in compliance with
the PRA in the future. INS's request not to display the expiration
date on its forms will not be considered until INS brings its
collections of information into full compliance with the PRA.
Inventory as of this Action
Requested
Previously Approved
11/30/2004
11/30/2004
683,210
0
0
512,407
0
0
81,985,000
0
0
This form is used by a nonimmigrant to
apply for an extension of stay or change of nonimmigrant status.
Additionally, the data will be used by the INS to determine
eligibility for the requested immigration benefit.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.