USCIS Intake Page for Pay.Gov

USCIS Intake Page for Pay.gov

Documents and Forms

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

Information Collection (IC) Details

IC Title:	USCIS Intake Page for Pay.Gov	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:

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 %

	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

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.