Application for Benefits Under the Family Unity Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0005 can be found here:

Documents and Forms

Document Name Document Type
Form Form I-817 Application for Benefits Under the Family Unity Program Form
I-817 Inst FR2010.pdf Instruction
Form I-817 Application for Benefits Under the Family Unity Program I-817 Form_FR2010.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Benefits Under the Family Unity Program	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-817	Application for Benefits Under the Family Unity Program	I-817 Form_FR2010.pdf		Yes	No	Fillable Printable
Instruction			I-817 Inst FR2010.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,750	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,750	-4,250	6,000
Annual IC Time Burden (Hours)	3,500	-8,500	12,000
Annual IC Cost Burden (Dollars)	910,000	-2,210,000	3,120,000

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.