Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status

Forms and Documents

Document Name	Status
Form I-566 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization Form	Modified
I-566 Supporting Statement 1-11-12.doc Supporting Statement A	2012-01-10
PIA.pdf Supplementary Document	2011-12-30
SORN.mht Supplementary Document	2011-12-30
Approved PTA Form I-566.pdf Supplementary Document	2011-12-30
I-566 30 Day Notice 11-16-2011.pdf Supplementary Document	2011-12-30
60 day Notice Published 8-18-2011.pdf Supplementary Document	2011-12-30

IC Document Collections

IC ID	Document Title	Status
20289	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization Form	Modified

ICR Details

OMB Control No: 1615-0027	ICR Reference No: 201112-1615-007
Status: Historical Active	Previous ICR Reference No: 201011-1615-004
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-566
Title: Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/09/2012
	Date Received in OIRA: 01/10/2012
Terms of Clearance: Approved for only one year due to lack of GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2013	36 Months From Approved	03/31/2012
Responses	5,800	0	5,800
Time Burden (Hours)	1,450	0	1,450
Cost Burden (Dollars)	0	0	0

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Abstract: This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NATO personnel by the DHS, DOS, DOD, and NATO/HQ SACT.

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Authorizing Statute(s): US Code: 8 USC 1101 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 51382	08/18/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 71056	11/16/2011
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	I-566	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

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ICR Summary 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	5,800	5,800	0	0	0	0
Annual Time Burden (Hours)	1,450	1,450	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $232,000

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

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Common Form ICR:  No

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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: 01/10/2012

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