(OMB No. 1615-0014)
JUSTIFICATION.
Section 212(a)(4) of the Immigration and Nationality Act (Act) provides that an alien who is a visa applicant, applicant for admission, or an applicant for adjustment of status to permanent residence, is excludable if a consular or immigration officer determines that the alien is likely to become a public charge. This information collection is necessary to determine if at the time of application into the United States, the applicant is likely to become a public charge.
U.S. Citizenship and Immigration Services (USCIS) and consular officers of the Department of State use this form to determine whether an applicant for a visa, adjustment of status, or entry to the United States may possibly be excludable on the ground that he or she is likely to become a public charge.
The use of this form currently provides the most efficient means for collecting and processing the required data. This form can be completed electronically but cannot be e-filed. However, this form has been scheduled for e-filing under the Business Transformation Project.
A search of USCIS automated forms tracking system was accomplished and revealed no duplication. There is no similar data collected.
This collection of information does not have an impact on small businesses or other small entities.
If the information is not collected, USCIS would not be able to determine whether the person (Sponsor) who is promising to support an alien after his or her entry to the United States, can adequately support the alien.
There are no special circumstances applicable to this information collection.
On November 12, 2009, USCIS published a 60-day notice in the Federal Register at 74 FR 58302. On March 15, 2010, USCIS published a 30-day notice in the Federal Register at 75 FR 12249. 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 44,000
Number of Responses per Respondent 1
Total Annual Responses 44,000
Hours per Response 1.5
Total Annual Reporting Burden 66,000
Annual Reporting Burden
The annual reporting burden is 66,000. This figure was derived by multiplying the number of respondents (44,000) x frequency of response (1) x 1.5 hours (90 minutes) per response.
There are no capital or start-up costs associated with this information collection. Any cost burden to respondents as a result of this information collection are identified in Item 14. There is no fee charge associated with this information collection.
Annualized Cost Analysis:
Printing Cost $ 6,600
Collection and Processing Cost $ 2,633,400
Total Cost to Program $ 2,640,000
Fee Charge $ 0
Total Cost to Government $ 2,640,000
The estimated cost to the Government is $ 2,640,000. This figure is calculated by using the estimated number of respondents (44,000) x 1.5 hours (90 minutes) per response (time required to collect and process information) x $40 (suggested average hourly rate for clerical, officer, and managerial time with benefits), plus a percent for the estimated cost of printing, stocking, distributing and processing this form.
The estimated annual public cost is $ 660,000. This estimate is based on the number of respondents 44,000 x 1.5 (90 minutes) per response x $10 (average hourly rate).
There has been no increase or decrease in the estimated burden hours previously reported for this collection of information.
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.
Certification and Signature.
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,
Regulations 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 | 2010-03-31 |
| File Created | 2010-03-31 |