Information Collection

Affidavit of Support Under Sction 213A of the Act, and Contract Between Sponsor and Household Member

IC 12173 under ICR 200106-1115-002 · OMB 1115-0214.

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Information Collection (IC) Details

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IC Title:	Affidavit of Support Under Sction 213A of the Act, and Contract Between Sponsor and Household Member	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-864				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 950,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	950,300	360,300	590,000
Annual IC Time Burden (Hours)	2,443,350	1,884,850	558,500
Annual IC Cost Burden (Dollars)	0	0	0

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