Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EOIR-33 BIA Clean Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals	Form and Instruction	Modified	Available
OMB EOIR-33 BIA 2012 Master Template 2012.pdf	Supplementary Document	Uploaded 2012-05-10	Available
OMB EOIR-33IC 2012 Master.pdf	Supplementary Document	Uploaded 2012-05-10	Available
Written Narrative of Proposed Changes.pdf	Supplementary Document	Uploaded 2011-09-30	Available
Paperwork Certifications.pdf	Supplementary Document	Uploaded 2011-09-30	Available
OMB 83-I.pdf	Supplementary Document	Uploaded 2011-09-30	Available
IC EOIR-33 form Changes.pdf	Supplementary Document	Uploaded 2011-09-30	Available
BIA EOIR-33 form Changes.pdf	Supplementary Document	Uploaded 2011-09-30	Available
Authority.pdf	Supplementary Document	Uploaded 2011-09-30	Available
Supplementary Supporting Statement.pdf	Supporting Statement B	Uploaded 2011-09-30	Available
Supporting Statement.pdf	Supporting Statement A	Uploaded 2011-09-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12677	Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals	Form and Instruction	Modified

ICR Details

OMB Control No: 1125-0004	ICR Reference No: 201109-1125-002
Status: Historical Active	Previous ICR Reference No: 200803-1125-004
Agency/Subagency: DOJ/EOIR	Agency Tracking No: EOIR 33
Title: Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/01/2012
	Date Received in OIRA: 02/22/2012
Terms of Clearance: Approved for 2 years while the agency continues to explore making this collection fully electronic.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2014	36 Months From Approved	05/31/2012
Responses	15,000	0	15,000
Time Burden (Hours)	1,245	0	750
Cost Burden (Dollars)	7,500	0	7,500

---

Abstract: Individuals in immigration proceedings before the Immigration Court or Board of Immigration Appeals use the form to report any change of address. The agency uses the information to determine where to send notices of next action or any decisions.

---

Authorizing Statute(s): US Code: 8 USC 1003.15 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1229 Name of Law: Immigration and Nationality Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 64377	10/18/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 80403	12/23/2011
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Alien's Change of Address Form/Immigration Court; Alien's Change of Address Form/Board on Immigration Appeals	EOIR-33 BIA Clean copy, E-33 IC Clean Copy	BIA Alien's Change of Address ,   Immigration Court Alien's Change of Address

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	15,000	15,000	0	0	0	0
Annual Time Burden (Hours)	1,245	750	0	0	495	0
Annual Cost Burden (Dollars)	7,500	7,500	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: EOIR increased the estimated hours per response from three (3) to five (5) minutes. This increased the total annual hourly reporting burden from 750 to 1,245. This adjustment is based on two factors. First, because of additions made to the forms, such as the Privacy Act Notice, five minutes is a more realistic estimate of the average time an alien will use to complete this form. Second, the Department of Homeland Security, U.S. Citizenship and Immigration Services (USCIS), similarly requires aliens to submit a change of address form. USCIS estimates that an alien will need five minutes to complete its change of address form, the AR-11, and this form requires information similar to EOIR's concomitant form.

---

Annual Cost to Federal Government: $3,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 02/22/2012

---