Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act

ICR 200702-1615-001

OMB: 1615-0090

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2007-02-05
Supplementary Document
2007-02-05
Supplementary Document
2007-02-05
Supplementary Document
2007-02-05
Supporting Statement A
0000-00-00
ICR Details
1615-0090 200702-1615-001
Historical Active 200511-1615-003
DHS/USCIS
Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act
Revision of a currently approved collection   No
Regular
Approved with change 06/27/2007
Retrieve Notice of Action (NOA) 03/22/2007
This collection is approved with change. Per the supporting statement the annual cost to respondents is $1,197,000. This was not accurately reflected in the ICR data. In all future submissions DHS/TSA will comply with the supporting statement instructions and accurately fill the appropriate data into ROCIS before submitting the collection to OMB.
  Inventory as of this Action Requested Previously Approved
06/30/2010 36 Months From Approved 06/30/2007
100,000 0 100,000
116,000 0 116,000
26,660,000 0 25,500,000

This information collection will now be used to apply to U.S. Citizenship and Immigration Services (USCIS) for benefits pursuant to the terms and conditions of certain settlement agreements.

US Code: 8 USC 1255a Name of Law: Immigration and Nationality Act
  
None

Not associated with rulemaking

  71 FR 68632 11/27/2006
72 FR 4723 02/01/2007
No

  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) 116,000 116,000 0 0 0 0
Annual Cost Burden (Dollars) 26,660,000 25,500,000 0 0 1,160,000 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Richard Lee 202 272-8519

  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.
03/22/2007


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