Approved for two
years. While this form can be completed and saved electronically,
it is not yet available for e-filing.
Inventory as of this Action
Requested
Previously Approved
08/31/2009
36 Months From Approved
08/31/2007
800,000
0
800,000
2,000,000
0
1,200,000
0
0
48,648,000
The information on the application
will be used by USCIS in considering eligibility for adjustment of
status under 8 CFR part 209, 8 CFR 210.5, 245.1 and
245a.3.
US Code:
8 USC
1255 Name of Law: Immigration Nationality Act
USCIS added the vaccination
record to the instrument based on a comment. This new record
increased the burden hours from 1 1/2 hours to 2 1/2 hours.
$48,648,000
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Rachel Ellis 202
272-8548
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.