USCIS Intake Page for Pay.gov

Forms and Documents

Document Name	Status
USCIS Intake Page for Pay.Gov Form and Instruction	Modified
Justification for non-substantive change 9-21-2012.docx Justification for No Material/Nonsubstantive Change	2012-09-21
Signed 83C form 9-21-12.pdf Supplementary Document	2012-09-21
Table of Changes 9-21-12.docx Supplementary Document	2012-09-21
Table of Changes 7-03-12.docx Supplementary Document	2012-07-13
83C Form Signed 5-21-12.pdf Supplementary Document	2012-05-21
Justification for non-substantive change.docx Justification for No Material/Nonsubstantive Change	2012-05-21
Table of Changes 5-16-12.docx Supplementary Document	2012-05-21

IC Document Collections

IC ID	Document Title	Status
197627	USCIS Intake Page for Pay.Gov Form and Instruction	Modified

ICR Details

OMB Control No: 1615-0118	ICR Reference No: 201205-1615-005
Status: Historical Active	Previous ICR Reference No: 201105-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: OMB-63
Title: USCIS Intake Page for Pay.gov
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/15/2012
	Date Received in OIRA: 06/12/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2014	08/31/2014	08/31/2014
Responses	521,200	0	521,200
Time Burden (Hours)	86,519	0	86,519
Cost Burden (Dollars)	0	0	0

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Abstract: The U.S. Department of Treasury has an automated system called "Pay.gov" that allows the public to submit secure electronic payments to Federal Government Agencies. U.S. Citizenship and Immigration Services (USCIS) created an electronic intake page that will reside on Pay.gov. This intake page will allow members of the public to electronically pay for the USCIS Immigrant Visa Fee.

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Authorizing Statute(s): US Code: 8 USC 1103 Name of Law: U.S. Code
   US Code: 8 USC 1356 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 1105	03/03/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 33328	06/08/2011
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
USCIS Intake Page for Pay.Gov	N/A	USCIS Intake Page on Pay.gov

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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	521,200	521,200	0	0	0	0
Annual Time Burden (Hours)	86,519	86,519	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: $4,000

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: 06/12/2012

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