Application for Replacement/Initial Nonimmigrant Arrival- Departure Document

ICR 200012-1115-007

OMB: 1115-0079

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
1115-0079 200012-1115-007
Historical Active 199801-1115-003
DOJ/INS
Application for Replacement/Initial Nonimmigrant Arrival- Departure Document
Extension without change of a currently approved collection   No
Regular
Approved without change 02/01/2001
Retrieve Notice of Action (NOA) 12/27/2000
  Inventory as of this Action Requested Previously Approved
02/29/2004 02/29/2004 01/31/2001
20,000 0 12,195
5,073 0 5,073
1,700,000 0 0

This form is used by an alien temporarily residing in the United States to request a replacement of his or her arrival evidence. The information provided can be used to verify status and for determination as to the eligibility of the applicant for said replacement.

None
None


No

1
IC Title Form No. Form Name
Application for Replacement/Initial Nonimmigrant Arrival- Departure Document I-102

  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 20,000 12,195 0 7,805 0 0
Annual Time Burden (Hours) 5,073 5,073 0 0 0 0
Annual Cost Burden (Dollars) 1,700,000 0 0 1,700,000 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.
12/27/2000


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