APPLICATION FOR ISSUANCE OF REFUGEE TRAVEL DOCUMENT (ARTICLE 28 UNITED NATIONS CONVENTION OF JULY 28, 1951, AND PROTOCOL OF 1967 (RELATING TO STATUS OF REFUGEES, 8 CFR 223A

ICR 198907-1115-006

OMB: 1115-0084

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1115-0084 198907-1115-006
Historical Active 198906-1115-008
DOJ/INS
APPLICATION FOR ISSUANCE OF REFUGEE TRAVEL DOCUMENT (ARTICLE 28 UNITED NATIONS CONVENTION OF JULY 28, 1951, AND PROTOCOL OF 1967 (RELATING TO STATUS OF REFUGEES, 8 CFR 223A
No material or nonsubstantive change to a currently approved collection   No
Emergency 07/11/1989
Approved with change 07/11/1989
Retrieve Notice of Action (NOA) 07/11/1989
  Inventory as of this Action Requested Previously Approved
06/30/1992 06/30/1992 06/30/1992
6,000 0 6,000
6,000 0 6,000
0 0 0

USED TO OBTAIN DATA NECESSARY FOR DETERMINATION OF APPLICANT'S ELIGIBILITY FOR ISSUANCE OF REFUGEE TRAVEL DOCUMENT. FORM IS FILED BY ANY ALIEN PHYSICALLY PRESENT IN THE UNITED STATES, WHOSE PRESENCE IS LAWFUL AND WHO IS A REFUGEE UNDER SECTION 101(A)(42)A OF ACT.

None
None


No

  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 6,000 6,000 0 0 0 0
Annual Time Burden (Hours) 6,000 6,000 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.
07/11/1989


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