Information Collection

Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status)

IC 20227 under ICR 201108-1615-004 · OMB 1615-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0004 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I-539 Supp A (updated 12-02-11).pdf	Instruction

IC Title:

Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 214

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
Instruction			I-539 Supp A (updated 12-02-11).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: 200

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	100	0	100
Annual IC Cost Burden (Dollars)	17,000	17,000	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.