Information Collection

Request for the Return of Original Documents

IC 21017 under ICR 201108-1615-005 · OMB 1615-0100.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0100 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form G-884 Request for the Return of Original Documents	Form
G-884 Instructions.pdf	Instruction
Form G-884 Request for the Return of Original Documents G-884.pdf	Form
G-884 Supp Statement 8-9-11.doc Form G-884 Supporting Statement	IC Document
Reference citation 5-18-11.doc Reference Citation	IC Document
60-Day Notice published 76 FR 28444 5-17-11.pdf 60-Day Notice	IC Document
Published 30-Day Notice 76 FR 48874 8-9-11.doc 30-Day Notice	IC Document

IC Title:

Request for the Return of Original Documents

Agency IC Tracking Number:

G-884

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 299

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	Form G-884	Request for the Return of Original Documents	G-884.pdf		Yes	No	Fillable Printable
Instruction			G-884 Instructions.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: 7,500

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	7,500	7,500
Annual IC Time Burden (Hours)	3,750	3,750
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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