Information Collection

Affidvit of Support Under Section 213A of the Act

IC 41275 under ICR 201107-1615-009 · OMB 1615-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-864EZ Affidvit of Support Under Section 213A of the Act	Form and Instruction
I-864 instr.pdf	Instruction
I-864 P.pdf	Other-Poverty Guidelines
I-864A instr.pdf	Instruction
I-864EZ Affidavit of Support Under Section 213A of the Act I-864 EZ form and instr.pdf	Form and Instruction
I-864 Affidavit of Support Under Section 213A of the Act I-864 form.pdf	Form
I-864W Intending Immigrant's Affidavit of Support Exemption I-864 W form & instr.pdf	Form and Instruction
I-864A Contract Between Sponsor and Household Member I-864A form.pdf	Form

IC Title:

Affidvit of Support Under Section 213A of the Act

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 213a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-864EZ	Affidavit of Support Under Section 213A of the Act	I-864 EZ form and instr.pdf	Yes	No	Fillable Printable
Form	I-864	Affidavit of Support Under Section 213A of the Act	I-864 form.pdf	Yes	No	Fillable Printable
Instruction			I-864 instr.pdf	Yes	No	Printable Only
Other-Poverty Guidelines			I-864 P.pdf	Yes	No	Printable Only
Form and Instruction	I-864W	Intending Immigrant's Affidavit of Support Exemption	I-864 W form & instr.pdf	Yes	No	Fillable Printable
Form	I-864A	Contract Between Sponsor and Household Member	I-864A form.pdf	Yes	No	Fillable Printable
Instruction			I-864A instr.pdf	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 756,300

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	756,300	756,300
Annual IC Time Burden (Hours)	3,265,650	3,265,650
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.