Application to Extend/Change Nonimmigrant Status

ICR 200104-1115-002

OMB: 1115-0093

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
11994 Migrated
ICR Details
1115-0093 200104-1115-002
Historical Active 200005-1115-001
DOJ/INS
Application to Extend/Change Nonimmigrant Status
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/05/2001
Retrieve Notice of Action (NOA) 04/27/2001
Approved consistent with INS's changes of 6/25/01 and on the condition that INS place the expiration date on the form. INS has been using this form in violation of the Paperwork Reduction Act and INS shall ensure that this form and all other forms are in compliance with the PRA in the future. INS's request not to display the expiration date on its forms will not be considered until INS brings its collections of information into full compliance with the PRA.
  Inventory as of this Action Requested Previously Approved
07/31/2004 07/31/2004
683,210 0 0
512,407 0 0
81,985,000 0 0

This form is used by a nonimmigrant to apply for an extension of stay or change of nonimmigrant status. Additionally, the data will be used by the INS to determine eligibility for the requested immigration benefit.

None
None


No

1
IC Title Form No. Form Name
Application to Extend/Change Nonimmigrant Status I-539

  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 683,210 0 0 683,210 0 0
Annual Time Burden (Hours) 512,407 0 0 512,407 0 0
Annual Cost Burden (Dollars) 81,985,000 0 0 81,985,000 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.
04/27/2001


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