Sworn Statement of Refugee Applying for Admission to the United States

ICR 200303-1653-019

OMB: 1653-0018

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1653-0018 200303-1653-019
Historical Active 200208-1115-007
DHS/USICE
Sworn Statement of Refugee Applying for Admission to the United States
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 with change-- INS made minor changes to the form, including formatting changes and removing a duplicate question. Burden hours were decreased as a result of an adjustment in the length of time necessary to complete the form. Upon clearance, INS will add the OMB expiration date to the form. Finally, this information collection was incorrectly submitted as an extension instead of a revision. INS will ensure that 83-Is are correctly filled out in the future.
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005
75,000 0 0
24,975 0 0
0 0 0

This form provides the gounds for admissibility to the United States as they apply to refugees. The information collected allows INS to make admissibility determinations for refugees.

None
None


No

1
IC Title Form No. Form Name
Sworn Statement of Refugee Applying for Admission to the United States G-646

  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 75,000 0 0 75,000 0 0
Annual Time Burden (Hours) 24,975 0 0 24,975 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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