Sponsor's Notice of Change of Address

ICR 200408-1615-003

OMB: 1615-0076

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
20395 Migrated
ICR Details
1615-0076 200408-1615-003
Historical Active 200303-1615-078
DHS/USCIS
Sponsor's Notice of Change of Address
Extension without change of a currently approved collection   No
Emergency 08/31/2004
Approved without change 11/05/2004
Retrieve Notice of Action (NOA) 08/25/2004
  Inventory as of this Action Requested Previously Approved
02/28/2005 02/28/2005 11/30/2004
100,000 0 100,000
23,300 0 23,300
0 0 0

The Illegal Immigration Reform and Immigrant Responsibility Act 0f 1996 created a section 213A of the Immigration and Nationality Act (Act). Section 213A requires every sponsor to notify the Bureau of Citizenship and Immigration Services (CIS0 and the State, in which the sponsor is currently a resident, of his or her new address within thirty (30) days of any change of address.

None
None


No

1
IC Title Form No. Form Name
Sponsor's Notice of Change of Address I-865

  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 100,000 100,000 0 0 0 0
Annual Time Burden (Hours) 23,300 23,300 0 0 0 0
Annual Cost Burden (Dollars) 0 0 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.
08/25/2004


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