Information Collection

Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form

IC 205101 under ICR 201107-1653-003 · OMB 1653-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1653-0050 Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form	Form and Instruction
1653-0050 Student and Exchange Visitor Program (SEVP) / Field Repr ICE Form SEVP OCT2012.pdf	Form and Instruction
ICE Form SEVP OCT2012 Submission Template.pdf ICE Form SEVP OCT2012 Submission Template	IC Document

IC Title:

Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1653-0050	Student and Exchange Visitor Program (SEVP) / Field Representative (FR) Feedback Form	ICE Form SEVP OCT2012.pdf		Yes	Yes	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,300

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	6,300	6,300
Annual IC Time Burden (Hours)	1,575	1,575
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
ICE Form SEVP OCT2012 Submission Template	ICE Form SEVP OCT2012 Submission Template.pdf	12/19/2012

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