Special Immigrant Visa Biodata Form

ICR 201206-1405-002

OMB: 1405-0203

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2012-06-05
Supplementary Document
2012-03-05
Supplementary Document
2012-01-03
Supplementary Document
2012-01-03
Supporting Statement A
2013-01-03
IC Document Collections
IC ID
Document
Title
Status
200665 Modified
ICR Details
1405-0203 201206-1405-002
Historical Active 201201-1405-001
STATE/AFA
Special Immigrant Visa Biodata Form
Extension without change of a currently approved collection   No
Regular
Approved with change 01/03/2013
Retrieve Notice of Action (NOA) 06/05/2012
  Inventory as of this Action Requested Previously Approved
01/31/2016 36 Months From Approved 01/31/2013
12,000 0 12,000
4,000 0 4,000
0 0 0

The information in this collection will aid DOS/PRM partners to arrange travel, select a resettlement site and prepare for services needed by Iraqi or Afghan citizens who worked with the U.S. Government or contractor, obtained a Special Immigrant Visa (SIV) because of this employment, and elected refugee resettlement benefits.

PL: Pub.L. 111 - 8 602 Name of Law: The Omnibus Appropriations Act
   PL: Pub.L. 109 - 163 1059 Name of Law: National Defense Authorization Act
   PL: Pub.L. 110 - 161 525 Name of Law: Consolidated Appropriations Act
   PL: Pub.L. 110 - 181 1244(g) Name of Law: The Refugee Crisis in Iraq Act
  
None

Not associated with rulemaking

  76 FR 81554 12/28/2011
77 FR 32711 06/01/2012
No

1
IC Title Form No. Form Name
Special Immigrant Visa Biodata Form DS-234 Special Immigrant Visa Biodata Form

  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 12,000 12,000 0 0 0 0
Annual Time Burden (Hours) 4,000 4,000 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$94,880
No
No
No
No
No
Uncollected
Sumitra Siram 202 453-9250

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
06/05/2012


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