ADJUSTMENT-OF-STATUS DATA

ICR 198110-1115-002

OMB: 1115-0104

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
119703 Migrated
ICR Details
1115-0104 198110-1115-002
Historical Active
DOJ/INS
ADJUSTMENT-OF-STATUS DATA
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 11/04/1981
Retrieve Notice of Action (NOA) 10/06/1981
  Inventory as of this Action Requested Previously Approved
07/31/1983 07/31/1983
150,000 0 0
29,722 0 0
0 0 0

INFORMATION COLLECTION AS REQUIRED BY SECTION 412(A)(8) OF THE IMMIGRATION AND NATIONALITY ACT ADDED BY THE REFUGEE ACT OF 1980, ON T SITUATION OF REFUGEES AT THE TIME THEY BECOME PERMANENT RESIDENT ALIEN PRIMARY PURPOSE IS FOR USE IN ORR'S REPORT TO CONGRESS, AS REQUIRED BY LAW.

None
None


No

1
IC Title Form No. Form Name
ADJUSTMENT-OF-STATUS DATA I-643

  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 150,000 0 0 150,000 0 0
Annual Time Burden (Hours) 29,722 0 0 29,722 0 0
Annual Cost Burden (Dollars) 0 0 0 0 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.
10/06/1981


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