Arrival and Departure Record

Forms and Documents

Document	Type	Status	Availability
Form I-94 Arrival and Departure Record I-94	Form and Instruction	Modified	Repair queued
Form I-94W I-94W Nonimmigrant Visa Waiver Arrival/Departure	Form and Instruction	Modified	Available
FR 30 2011.pdf	Supplementary Document	Uploaded 2011-01-05	Available
FR 60 2010.pdf	Supplementary Document	Uploaded 2011-01-05	Repair queued
Statement 2011.doc.docx	Supporting Statement A	Uploaded 2011-01-05	Available
ESTA SORN.pdf	Supplementary Document	Uploaded 2011-01-05	Repair queued
Travel Promotion Act.pdf	Supplementary Document	Uploaded 2010-07-13	Available
Non-Immigrant SORN.pdf	Supplementary Document	Uploaded 2010-04-15	Available
9-11 Act PL 110-53.doc	Supplementary Document	Uploaded 2010-03-18	Repair queued
8 CFR 217 and 212 1(e).doc	Supplementary Document	Uploaded 2010-03-18	Available
privacy_pia_cbp_esta.pdf	Supplementary Document	Uploaded 2009-03-17	Available
Supporting Laws.doc	Supplementary Document	Uploaded 2008-03-04	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
20892	Arrival and Departure Record I-94	Form and Instruction	Modified
194178	Electronic System for Travel Authorization with Fee		Unchanged
184545	Electronic System for Travel Authorization (ESTA)	Other-website	Modified
184027	I-94W Nonimmigrant Visa Waiver Arrival/Departure	Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0111	ICR Reference No: 201101-1651-002
Status: Historical Active	Previous ICR Reference No: 201007-1651-004
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Arrival and Departure Record
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2011
	Date Received in OIRA: 01/05/2011
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	03/31/2011
Responses	49,000,000	0	49,000,000
Time Burden (Hours)	6,600,300	0	6,600,300
Cost Burden (Dollars)	308,600,000	0	308,600,000

---

Abstract: Form I-94 (Arrival/Departure Record) and Form I-94W (Nonimmigrant Visa Waiver Arrival/Departure Record) are used to document a traveler's admission into the United States. These forms include date of arrival, visa classification and the date the authorized stay expires. The forms are also used by business employers and other organizations to confirm legal status in the United States. The Electronic System for Travel Authorization (ESTA) applies to aliens traveling to the United States under the Visa Waiver Program (VWP) and requires that VWP travelers provide information electronically to CBP before embarking on travel to the United States.

---

Authorizing Statute(s): US Code: 8 USC 217 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 231 Name of Law: Immigration and Nationality Act
   PL: Pub.L. 110 - 53 711 Name of Law: 9/11 Act
   PL: Pub.L. 111 - 145 9 Name of Law: Travel Promotion Act
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 53 711 Name of Law: 9/11 Act

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 59733	09/28/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 76997	12/10/2010
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Electronic System for Travel Authorization with Fee
Electronic System for Travel Authorization (ESTA)
Arrival and Departure Record I-94	I-94	Arrival/Departure Record
I-94W Nonimmigrant Visa Waiver Arrival/Departure	I-94W	Nonimmigrant Visa Waiver Approval/Departure

---

ICR Summary of Burden

	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	49,000,000	49,000,000	0	0	0	0
Annual Time Burden (Hours)	6,600,300	6,600,300	0	0	0	0
Annual Cost Burden (Dollars)	308,600,000	308,600,000	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/05/2011

---