Interagency Alien Witness and Informant Record

ICR 200207-1115-003

OMB: 1115-0196

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
12133 Migrated
ICR Details
1115-0196 200207-1115-003
Historical Active 199908-1115-014
DOJ/INS
Interagency Alien Witness and Informant Record
Extension without change of a currently approved collection   No
Regular
Approved with change 09/23/2002
Retrieve Notice of Action (NOA) 07/29/2002
Approved with change. INS will include the expiration date on this form. By 12/2002, a fee will be associated with this collection, as stated in INS' final regulations. INS will revise the cost burden associated with this collection at that time. Further, upon resubmission, INS will provide a status report and timeline for allowing electronic submissions of this information.
  Inventory as of this Action Requested Previously Approved
09/30/2005 09/30/2005 09/30/2002
125 0 50
531 0 213
0 0 0

This form is used by law enforcement agencies (LEA's) to bring alien witnesses and informants to the United States in "S" nonimmigrant classification. This form also provides Department of State and INS with information necessary to identify the requesting LEA, the alien witness and/or informant.

None
None


No

1
IC Title Form No. Form Name
Interagency Alien Witness and Informant Record I-854

  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 125 50 0 75 0 0
Annual Time Burden (Hours) 531 213 0 318 0 0
Annual Cost Burden (Dollars) 0 0 0 0 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.
07/29/2002


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