INS' request for
an exception to display the expiration date of this form is
denied.
Inventory as of this Action
Requested
Previously Approved
04/30/2005
04/30/2005
04/30/2002
86,400
0
86,400
50,371
0
50,371
0
0
0
This form is used by an asylee or
refugee to file for immigration benefits on behalf of his/her
spouse and/or children provided that the relationship to the
refugee/asylee existed prior to their admission to the United
States. The data collected on this form is used by the Service to
determine eligibility for the requested immigration benefit. The
form serves the purpose of standarding requests for the benefit,
and ensures that basic information required to assess eligibility
is provided by petitioners.
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.