Application for Issuance or Replacement of Nothern Mariana Card

ICR 200303-1615-044

OMB: 1615-0042

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1615-0042 200303-1615-044
Historical Active 200012-1115-011
DHS/USCIS
Application for Issuance or Replacement of Nothern Mariana Card
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
Approved consistent with INS memo dated 3/6/01, including: -- Noting that the applicant should submit "as many documents as are necessary to substantiate the claim and avoid fraud." -- Including "care of" in the address line, instead of having it apprear in a seperate question -- Adding "if applicable" in the SSN line -- Noting that the applicant must go back 5-10 years in questions 11 and 12 These changes should be in place upon reprinting of the form. The changes should appear on the form before re-submission of this package upon expiration.
  Inventory as of this Action Requested Previously Approved
06/30/2004 06/30/2004
100 0 0
50 0 0
2,000 0 0

This information collection is used by applicants to apply for a Northern Mariana identification card if they receive United States citizenship pursuant to Pub.L.94-241 (Covenant to Establish a Commonwealth of the Nothern Mariana Island).

None
None


No

1
IC Title Form No. Form Name
Application for Issuance or Replacement of Nothern Mariana Card I-777

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 100 0 0 100 0 0
Annual Time Burden (Hours) 50 0 0 50 0 0
Annual Cost Burden (Dollars) 2,000 0 0 2,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
03/01/2003


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