AFFIDAVIT OF SUPPORT

ICR 199310-1115-005

OMB: 1115-0062

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
119493 Migrated
ICR Details
1115-0062 199310-1115-005
Historical Active 199212-1115-003
DOJ/INS
AFFIDAVIT OF SUPPORT
Extension without change of a currently approved collection   No
Regular
Approved without change 12/04/1993
Retrieve Notice of Action (NOA) 10/21/1993
  Inventory as of this Action Requested Previously Approved
12/31/1996 12/31/1996 11/30/1993
44,000 0 44,000
14,608 0 14,608
0 0 0

THE INFORMATION WILL BE USED TO DETERMINE THAT THE APPLICANT FOR BENEFITS WILL NOT BECOME A PUBLIC CHARGE IF ADMITTTED IN THE UNITED STATES.

None
None


No

1
IC Title Form No. Form Name
AFFIDAVIT OF SUPPORT I-134

  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 44,000 44,000 0 0 0 0
Annual Time Burden (Hours) 14,608 14,608 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.
10/21/1993


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