Liberian Deferred Enforced Departure (DED) Supplement to Form I-765

ICR 199909-1115-004

OMB: 1115-0220

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1115-0220 199909-1115-004
Historical Active 199811-1115-004
DOJ/INS
Liberian Deferred Enforced Departure (DED) Supplement to Form I-765
Reinstatement with change of a previously approved collection   No
Emergency 09/29/1999
Approved without change 09/29/1999
Retrieve Notice of Action (NOA) 09/29/1999
  Inventory as of this Action Requested Previously Approved
03/31/2000 03/31/2000
15,000 0 0
15,000 0 0
0 0 0

The data collected on this form is used by the INS to determine eligibility for the requested benefit, pursuant to requirements of the Presidential Order dated September 27, 1999. The data will enable adjudication officers to adjudicate the underlying benefit without the need of requiring individual interviews in local INS offices on the majority of applicants.

None
None


No

1
IC Title Form No. Form Name
Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 I-765D

  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 15,000 0 0 15,000 0 0
Annual Time Burden (Hours) 15,000 0 0 15,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/29/1999


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