DEPARTURE INFORMATION CARD

ICR 198905-1115-005

OMB: 1115-0080

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
167828 Migrated
ICR Details
1115-0080 198905-1115-005
Historical Active 198804-1115-022
DOJ/INS
DEPARTURE INFORMATION CARD
No material or nonsubstantive change to a currently approved collection   No
Emergency 05/06/1989
Approved with change 05/06/1989
Retrieve Notice of Action (NOA) 05/06/1989
  Inventory as of this Action Requested Previously Approved
04/30/1991 04/30/1991 04/30/1991
15,000 0 15,000
495 0 495
0 0 0

USED BY ALIENS GRANTED VOLUNTARY DEPARTURE IN LIEU OF DEPORTATION TO NOTIFY THE INS OF DEPARTURE ARRANGEMENTS.

None
None


No

1
IC Title Form No. Form Name
DEPARTURE INFORMATION CARD I-438

  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 15,000 15,000 0 0 0 0
Annual Time Burden (Hours) 495 495 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/06/1989


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