Application for Advance Permission to Return to Unrelinquished Domicile

ICR 200004-1115-001

OMB: 1115-0032

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
1115-0032 200004-1115-001
Historical Active 199612-1115-001
DOJ/INS
Application for Advance Permission to Return to Unrelinquished Domicile
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 06/22/2000
Retrieve Notice of Action (NOA) 04/20/2000
Approved. Upon reprinting the form, INS shall add the required PRA burden statement (including the significance of the OMB number). INS will also add a definition of "immediate family on the form or the instruction sheet, and make additional grammatical changes as requested.
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003
300 0 0
75 0 0
51,000 0 0

The information collected on this form is used by the Immigration and Naturalization Service (INS) to determine whether the applicant is eligible for a discretionary relief under section 212(c) of the Act.

None
None


No

1
IC Title Form No. Form Name
Application for Advance Permission to Return to Unrelinquished Domicile I-191

  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 300 0 0 300 0 0
Annual Time Burden (Hours) 75 0 0 75 0 0
Annual Cost Burden (Dollars) 51,000 0 0 51,000 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.
04/20/2000


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