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Sworn Statement of Refugee Applying for Admission to the United States
Sworn Statement of Refugee Applying for Admission to the United States
OMB: 1615-0097
IC ID: 20432
OMB.report
DHS/USCIS
OMB 1615-0097
ICR 201206-1615-001
IC 20432
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0097 can be found here:
2014-11-26 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form G-646
Sworn Statement of Refugee Applying for Admission to the United States
Form and Instruction
G-646 Sworn Statement of Refugee Applying for Admission to the
G646-INS-OMBexten-03072012.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sworn Statement of Refugee Applying for Admission to the United States
Agency IC Tracking Number:
G-646
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
8 CFR 207
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
G-646
Sworn Statement of Refugee Applying for Admission to the United States
G646-INS-OMBexten-03072012.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
Alien File (A-File) and Central Index System (CIS)
FR Citation:
72 FR 1755
Number of Respondents:
75,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
75,000
0
0
0
0
75,000
Annual IC Time Burden (Hours)
24,975
0
0
0
0
24,975
Annual IC Cost Burden (Dollars)
0
0
0
0
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.