SUPPORTING STATEMENT
HRIFA Supplement to Form I-485
(Form I-485 Supplement C)
A. JUSTIFICATION:
1. Section 902 of Public Law 105-277 (HRIFA) allows certain nationals of Haiti to apply for adjustment of status to that of permanent resident. Although the application period for principal applicants ended April 1, 2000, dependents may file the I-485, Application for Adjustment of Status or to Register Permanent Residence, on or after December 31, 1995. The information provided on the Form I-485 Supplement C, in combination with the information collected on Form I-485 (Application to Register Permanent Resident or Adjust Status), is necessary in order for the U.S. Citizenship & Immigration Services (USCIS) to make a determination that the adjustment of status eligibility requirements and conditions are met by the applicant. Upon approval of the application the alien is declared to be a lawful permanent resident of the United States and a Permanent Resident Card is issued by USCIS.
2. The information provided on this form, in combination with the data collected on Form I-485, is used by the USCIS to determine eligibility for adjustment of status for Haitian nationals applying pursuant to HRIFA.
3. The use of this form provides the most efficient means for collecting and processing the required data. This form has been designated for e-filing under the Business Transformation Project.
4. A review of USCIS Forms Inventory Report revealed no duplication of effort, and there is no other similar information currently available that can be used for this purpose.
5. This collection of information does not have an impact on small businesses or other small entities.
6. If the information is not provided to the applicant, the applicant will not know how to properly indicate their basis for adjustment on the Form I-485 and the adjudicating officer will be unable to determine whether the applicant is eligible for the benefits sought.
7. The special circumstances contained in item 7 of the Supporting Statement are not applicable to this information collection.
8. USCIS published a 60-day notice in the Federal Register on March 23, 2011, at 76 FR 16436 requesting comments from the public. USCIS published a 30-day notice in the Federal Register on June 14, 2011, at 76 FR 34739 requesting comments from the public. USCIS did not receive any comments on the 60-day or 30-day notice.
9. USCIS does not provide payment or gifts to respondents in exchange for a benefit sought.
10. There is not assurance of confidentiality. The system of record notice associated with this information collection is Asylum Information and Pre-Screening System of Records. Published in the Federal Register on January 5, 2010, at FR 409. The associated privacy impact assessment is Refugees, Asylum, and Parole System and the Pre-Screening System.
11. There are no questions of a sensitive nature.
12. Annual Reporting Burden:
a. Number of Respondents 2,000
b. Number of Responses per each Respondent 1
c. Total Annual Responses 2,000
d. Hours per Response .50
e. Total Annual Burden Hours 1,000
Total annual reporting burden hours is 1,000. This figure was derived by multiplying the number of respondents (2000) x (1) frequency of response x .50 hours (30 minutes) hours per response.
13. There are no capital or start-up costs associated with this information collection. Any cost burdens to respondents as a result of this collection are identified in question 14. There are no fees associated with this information collection.
14. Annualized Cost Analysis:
a. Printing Cost $ 360
b. Collecting and Processing $ 0*
c. Total Cost to Program $ 360
d. Fee Charge $ 0
e. Total Annual Cost to Government $ 360
* The collecting and processing fees are included in the total for the Form I-485. This supplement C is only a separate instruction for those applying for adjustment of status under HRIFA. It is not a separate form which needs to be processed.
The estimated cost to the Government is $360. This figure includes the estimated overhead cost for printing, stocking, and distributing the form.
Public Cost
The estimated annual public cost is $30,740. This figure is based on the number of respondents (2,000) x (1) number of responses x .50 (30 minutes) per response x $30.74 (average hourly rate).
15. There has been no increase or decrease in the burden hours previously reported for this information collection. There is no change in the information being collected.
16. USCIS does not intend to employ the use of statistics or the publication thereof for this collection of information.
17. USCIS will display the expiration date for this information collection.
18. USCIS does not request an exception to the certification of this information collection.
B. Collection of Information Employing Statistical Methods.
Not Applicable.
C. Certification and Signature.
In submitting this request for OMB approval, I certify that the requirements of the Privacy Act and OMB directives have been complied with including paperwork regulations, statistical standards or directives, and any other information policy directives promulgated under 5 CFR 1320.
____________________________________ ________________
Sunday Aigbe Date
Chief,
Regulatory Products Division,
Office of the Executive Secretariat,
U.S. Citizenship and Immigration Services,
Department of Homeland Security.
| File Type | application/msword |
| File Title | SUPPORTING STATEMENT |
| Author | dllee1 |
| Last Modified By | Evadne Hagigal |
| File Modified | 2011-09-13 |
| File Created | 2011-09-13 |