Attestation by Designated Fingerprinting Service Certified to Take Fingerprints

ICR 199605-1115-003

OMB: 1115-0194

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
1115-0194 199605-1115-003
Historical Active 199412-1115-004
DOJ/INS
Attestation by Designated Fingerprinting Service Certified to Take Fingerprints
Extension without change of a currently approved collection   No
Regular
Approved without change 05/24/1996
Retrieve Notice of Action (NOA) 05/24/1996
Approved; The request for exemption from printing the expiration date on the form is approved. INS shall include the latest revision date on the form.
  Inventory as of this Action Requested Previously Approved
01/31/1998 01/31/1998 01/31/1998
1,060,000 0 1,060,000
175,960 0 175,960
0 0 0

This form will be used by the Immigration and Naturalization Service to monitor compliance with the fingerprinting regulations, ensuring that the identity of the person who was fingerprinted by the Designated Fingerprinting Service (DFS) matches the information on the fingerprint card and that acceptable identification documents are reviewed by the DFS.

None
None


No

1
IC Title Form No. Form Name
Attestation by Designated Fingerprinting Service Certified to Take Fingerprints I-850A

  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 1,060,000 1,060,000 0 0 0 0
Annual Time Burden (Hours) 175,960 175,960 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.
05/24/1996


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