Application for Temporary Protected Status

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form Form I-821 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

Information Collection (IC) Details

View Information Collection (IC)

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-821	Application for Temporary Protected Status	I-821 Form FR2010.pdf		Yes	Yes	Fillable Fileable
Instruction			I-821 Inst FR2010_08312010.pdf		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 %

	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

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.