HEALTH AND HUMAN SERVICES STATISTICAL DATA FOR REFUGEE ASYLEE ADJUSTING STATUS

ICR 199112-1115-001

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
ICR Details
1115-0104 199112-1115-001
Historical Active 198906-1115-056
DOJ/INS
HEALTH AND HUMAN SERVICES STATISTICAL DATA FOR REFUGEE ASYLEE ADJUSTING STATUS
Extension without change of a currently approved collection   No
Regular
Approved without change 01/16/1992
Retrieve Notice of Action (NOA) 12/10/1991
  Inventory as of this Action Requested Previously Approved
01/31/1995 01/31/1995 12/31/1991
150,000 0 150,000
24,900 0 24,900
0 0 0

INFORMATION REQUIRED BY 8 USC 1522(A)(8) ON SITUATION OF REFUGEES AT TIME OF ADJUSTMENT TO LAWFUL PERMANENT RESIDENT OF U.S. DATA USED BY OFFICE OF REFUGEES RESETTLEMENT (HHS) FOR REPORT TO CONGRESS AS REQUIRED BY 8 USC 1523.

None
None


No

1
IC Title Form No. Form Name
HEALTH AND HUMAN SERVICES STATISTICAL DATA FOR REFUGEE ASYLEE ADJUSTING STATUS 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 150,000 150,000 0 0 0 0
Annual Time Burden (Hours) 24,900 24,900 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.
12/10/1991


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