Information Collection

Application for Temporary Protected Status

IC 20326 under ICR 201007-1615-004 · OMB 1615-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form I-821 Application for Temporary Protected Status Application for Temporary Protected Status	Form
I-821 Inst FR2010_08312010.pdf	Instruction
Form I-821 Application for Temporary Protected Status I-821 Form FR2010.pdf	Form

IC Title:

Application for Temporary Protected Status

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 244

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-821				Yes	Yes	Fillable Fileable
Instruction					Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 335,333

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	335,333	0	335,333
Annual IC Time Burden (Hours)	502,999	0	502,999
Annual IC Cost Burden (Dollars)	29,141,055	2,314,415	26,826,640

Documents for IC

table that charts IC Documents
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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].