Affidavit of Support

ICR 200303-1615-016

OMB: 1615-0014

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
20255 Migrated
ICR Details
1615-0014 200303-1615-016
Historical Active 200005-1115-002
DHS/USCIS
Affidavit of Support
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
Approved consistent with INS memo dated 6/29/00.
  Inventory as of this Action Requested Previously Approved
07/31/2003 07/31/2003
44,000 0 0
14,652 0 0
0 0 0

The information collection is used to determine whether the applicant for the benefit will become a public charge if admitted to the United States.

None
None


No

1
IC Title Form No. Form Name
Affidavit of Support I-134

  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 44,000 0 0 44,000 0 0
Annual Time Burden (Hours) 14,652 0 0 14,652 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.
03/01/2003


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