Information Collection

USCIS Intake Page for Pay.Gov

IC 197627 under ICR 201205-1615-005 · OMB 1615-0118.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
USCIS Intake Page for Pay.Gov	Form and Instruction
USCIS Intake Page on Pay.gov USCIS Intake Page on Pay Gov 9-21-12.rtf USCIS Intake Page on www.Pay.gov	Form and Instruction

IC Title:

Agency IC Tracking Number:

OMB-63

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.7

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 and Instruction	N/A	USCIS Intake Page on Pay.gov	USCIS Intake Page on Pay Gov 9-21-12.rtf	USCIS Intake Page on www.Pay.gov	Yes	Yes	Fillable Fileable

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: 521,200

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	521,200	521,200
Annual IC Time Burden (Hours)	86,519	86,519
Annual IC Cost Burden (Dollars)	0	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.