SUPPORTING STATEMENT
Application for Removal
(Form I-243)
OMB No. 1615-0019
A. JUSTIFICATION:
Section 250 of the Immigration and Nationality Act (Act) provides that the Secretary of Homeland Security may remove from the United States any alien who falls into distress or who needs public aid from causes arising subsequent to entry into the United States and who desires to be removed from the United States. Form I-243 is provided as an application for that purpose.
The information provided on this form allows the U.S. Citizenship and Immigration Services (USCIS) to determine eligibility for the alien’s request for removal from the United States.
The use of this form provides the most efficient means for collecting and processing the required data. This form can be completed but not submitted electronically to USCIS. Because of the low number of respondents this form has not been designated for e-filing under the Business Transformation Program.
A review of the USCIS Forms Inventory Report revealed no duplication of efforts. There is no similar information currently available that can be used for this purpose.
This collection of information does not have an impact on small businesses or other small entities.
This form is necessary to provide those persons in distress an avenue by which to prove eligibility to leave the United States. There is no other information collection that would satisfy this specific need.
There are no special circumstances applicable to this information collection. USCIS does request the form be completed in duplicate. One copy remains with USCIS, and the other is sent to U.S. Immigration and Customs Enforcement (USICE).
On June 2, 2009, USCIS published a 60-day notice in the Federal Register at 74 FR 26415. On August 20, 2009, USCIS published a 30-day notice in the Federal Register at 74 FR 42083. USCIS did not receive any comments for this information collection.
USCIS does not provide payments or gifts to respondents in exchange for a benefit sought.
There is no assurance of confidentiality.
There are no questions of a sensitive nature.
Annual Reporting Burden:
Number of Respondents 41
Number of Responses per Respondent 1
Total Annual Responses 41
Hours per Response .50
Total Annual Reporting Burden 20
Annual Reporting Burden
Total annual reporting burden hours is 20. This figure was derived by multiplying the number of respondents (41) x frequency of response (1) x (.50 hours) 30 minutes per response.
13 There are no capital or start-up costs associated with this information collection. Any cost burdens to respondents as a result of this information collection are identified in Item 14. Additionally, there is no fee charge for the collection of this information.
Annualized Cost Analysis:
Printing Cost $ 10
Collection and Processing Cost 1,640
Total Cost to Program 1,650
Fee Charge 0
Total Cost to Government 1,650
The estimated cost to the Government is $1,650. This figure is calculated by multiplying the estimated number of respondents (41) x 1 hour (USCIS time required to collect and process information) x $40 (suggested average hourly rate for clerical, officer, and supervisory time with benefits). In addition, this figure includes the estimated overhead cost for printing, stocking, and distributing the form which is $10.
The estimated annual public cost is $200. This is based on the number of respondents (41) x (.50 hours) (30 minutes) per response x $10 (Average hourly rate).
There has been no increase or decrease in the estimated annual burden hours previously reported for this information collection.
USCIS does not intend to employ the use of statistics or the publication thereof for this information collection.
USCIS will display the expiration date for this information collection.
USCIS does not request an exception to the certification of this information collection.
Collection of Information Employing Statistical Methods.
Not Applicable.
In submitting this request for OMB approval, I certify that the requirements of the Privacy Act and OMB directives have been complied with including paperwork regulations, statistical standards or directives, and any other information policy directives promulgated under 5 CFR 1320.
___________________________________ _____________________
Sunday Aigbe, Date
Chief,
Regulatory Products Division
U.S. Citizenship and Immigration Services
| File Type | application/msword |
| File Title | SUPPORTING STATEMENT |
| Author | ANDREA FLEET |
| Last Modified By | user_template |
| File Modified | 2009-08-25 |
| File Created | 2009-08-25 |