Application for Benefits Under the Family Unity Program

ICR 200109-1115-005

OMB: 1115-0166

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
12080 Migrated
ICR Details
1115-0166 200109-1115-005
Historical Active 200104-1115-003
DOJ/INS
Application for Benefits Under the Family Unity Program
Extension without change of a currently approved collection   No
Regular
Approved without change 11/21/2001
Retrieve Notice of Action (NOA) 09/24/2001
Approved consistent to memo dated 11/20/01. In future submissions, INS will properly complete item 14 of the 83-I.
  Inventory as of this Action Requested Previously Approved
11/30/2004 11/30/2004 11/30/2001
40,000 0 40,000
100,000 0 100,000
6,600,000 0 6,600,000

The information collected will be used to determine whether the applicant meets the eligibility requirements for benefits under 8 CFR 245A, Subpart C.

None
None


No

1
IC Title Form No. Form Name
Application for Benefits Under the Family Unity Program I-817

  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 40,000 40,000 0 0 0 0
Annual Time Burden (Hours) 100,000 100,000 0 0 0 0
Annual Cost Burden (Dollars) 6,600,000 6,600,000 0 0 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.
09/24/2001


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