Affidavit of Support

ICR 201103-1615-007

OMB: 1615-0014

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2011-05-24
Supplementary Document
2011-03-08
Supplementary Document
2011-03-08
Supplementary Document
2011-03-08
Supplementary Document
2011-03-08
Supplementary Document
2011-03-08
Supplementary Document
2011-03-08
IC Document Collections
IC ID
Document
Title
Status
20257 Modified
ICR Details
1615-0014 201103-1615-007
Historical Active 201003-1615-009
DHS/USCIS
Affidavit of Support
Extension without change of a currently approved collection   No
Regular
Approved with change 05/25/2011
Retrieve Notice of Action (NOA) 03/16/2011
Approved for one year due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
05/31/2012 36 Months From Approved 05/31/2011
44,000 0 44,000
66,000 0 66,000
0 0 0

U.S. Citizenship and Immigration Services (USCIS) uses this form to determine whether an applicant for a visa, adjustment of status, or entry to the United States may possibly be excludable on the ground that he or she is likely to become a public charge.

US Code: 8 USC 1184 Name of Law: United States Code
  
None

Not associated with rulemaking

  75 FR 77891 12/14/2010
76 FR 11805 03/03/2011
No

1
IC Title Form No. Form Name
Affidavit of Support I-134 Affidavit of Support

  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 44,000 44,000 0 0 0 0
Annual Time Burden (Hours) 66,000 66,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$2,640,000
No
No
No
No
No
Uncollected
Leah Torino 2022728548

  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.
03/16/2011


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