Information Collection

Request for Specific Consent to Junenile Court Jurisdiction

IC 195192 under ICR 201011-0970-003 · OMB 0970-0385.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0970-0385 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Request for Specific Consent to Junenile Court Jurisdiction Form and Instruction
1 Interim Request for Specific Consent to Juvenile Court J Specific Consent FORM INTERIM (9).doc Form and Instruction
Special_Immigrant_Juvenile_Status-Interim_Specific_Consent_Program_Instructions.pdf Program Instruction IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Request for Specific Consent to Junenile Court Jurisdiction	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Interim Request for Specific Consent to Juvenile Court Jurisdiction	Specific Consent FORM INTERIM (9).doc		Yes	Yes	Printable Only

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 72	Number of Respondents for Small Entity: 72

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	72	72
Annual IC Time Burden (Hours)	24	24
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Program Instruction	Special_Immigrant_Juvenile_Status-Interim_Specific_Consent_Program_Instructions.pdf	09/27/2010

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.