Request for Fee Waiver

ICR 201007-1615-007

OMB: 1615-0116

Federal Form Document

Forms and Documents
Document
Name
Status
Form
New
Supporting Statement A
2010-10-06
Supplementary Document
2010-10-06
Supplementary Document
2010-09-21
Supplementary Document
2010-09-21
Supplementary Document
2010-09-21
Supplementary Document
2010-09-21
Supplementary Document
2010-09-21
IC Document Collections
IC ID
Document
Title
Status
194028 New
ICR Details
1615-0116 201007-1615-007
Historical Active
DHS/USCIS
Request for Fee Waiver
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/29/2010
Retrieve Notice of Action (NOA) 10/07/2010
Approved for only two years due to partial GPEA compliance. This form can be electronically filed but not submitted.
  Inventory as of this Action Requested Previously Approved
10/31/2012 36 Months From Approved
85,000 0 0
99,110 0 0
0 0 0

The collection of information on Form I-912 is necessary in order for U.S. Citizenship and Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application fee for certain immigration benefits.

US Code: 8 USC 1103 Name of Law: United States Code
  
None

Not associated with rulemaking

  75 FR 40846 07/14/2010
75 FR 61769 10/06/2010
Yes

1
IC Title Form No. Form Name
Request for Fee Waiver I-912 Request for Fee Waiver

  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 85,000 0 0 85,000 0 0
Annual Time Burden (Hours) 99,110 0 0 99,110 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Since this is a new information collection, the annual burden hours have never been included in the OMB inventory. Accordingly, this information collection increases OMB inventory by 99,110 annual burden hours.

$1,700,000
No
No
No
No
No
Uncollected
Kathleen stanley 202 272-8191 [email protected]

  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.
10/07/2010


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