Sponsor's Notice of Change of Address

ICR 199807-1115-004

OMB: 1115-0215

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
12178 Migrated
ICR Details
1115-0215 199807-1115-004
Historical Active 199804-1115-001
DOJ/INS
Sponsor's Notice of Change of Address
Extension without change of a currently approved collection   No
Regular
Approved without change 09/14/1998
Retrieve Notice of Action (NOA) 07/22/1998
  Inventory as of this Action Requested Previously Approved
09/30/2001 09/30/2001 09/30/1998
100,000 0 100,000
23,300 0 23,300
0 0 0

The form will be used by every sponsor who has filed an affidavit of support under section 213A of the INA to notify the Service of a change of address; the data will be used to locate a sponsor if there is a request for reimbursement.

None
None


No

1
IC Title Form No. Form Name
Sponsor's Notice of Change of Address I-865

  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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 23,300 23,300 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.
07/22/1998


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