Information Collection

Data Relating to Beneficiary of Private Bill

IC 21013 under ICR 200701-1653-007 · OMB 1653-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0026 can be found here:

Documents and Forms

Document Name Document Type
Form G-79A Data Relating to Beneficiary of Private Bill Form and Instruction
G-79A Data Relating to Beneficiary of Private Bill ICE Form G-79Anew.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Data Relating to Beneficiary of Private Bill	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-79A	Data Relating to Beneficiary of Private Bill	ICE Form G-79Anew.doc		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	100	0	100
Annual IC Time Burden (Hours)	100	0	100
Annual IC Cost Burden (Dollars)	0	-2,100,000	2,100,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.