Information Collection

Application for Temporary Protected Status

IC 12089 under ICR 200012-1115-004 · OMB 1115-0170.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

Application for Temporary Protected Status

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-821				No	No
Form	I-821A				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 181,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	181,000	0	181,000
Annual IC Time Burden (Hours)	90,500	0	90,500
Annual IC Cost Burden (Dollars)	8,800,000	8,714,000	86,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.