Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form Form I-694 Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act	Form	Modified	Available
PRA I-694 Supp Statement 9-26-12.doc	Supporting Statement A	Uploaded 2012-09-26	Available
Reference Citation.doc	Supplementary Document	Uploaded 2012-07-16	Available
SORN.htm	Supplementary Document	Uploaded 2012-07-16	Available
PIA.pdf	Supplementary Document	Uploaded 2012-07-16	Available
30-day notice 7-16-12 77 FR 41797.pdf	Supplementary Document	Uploaded 2012-07-16	Repair queued
60-day notice 4-9-12 77 FR 21104.pdf	Supplementary Document	Uploaded 2012-07-16	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20308	Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act	Form	Modified

ICR Details

OMB Control No: 1615-0034	ICR Reference No: 201207-1615-004
Status: Historical Active	Previous ICR Reference No: 201107-1615-007
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-694
Title: Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/16/2012
	Date Received in OIRA: 09/27/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	12/31/2012
Responses	50	0	50
Time Burden (Hours)	25	0	25
Cost Burden (Dollars)	0	0	37,750

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Abstract: This form is used in considering appeals of denials of temporary and permanent residence status by legalization applicants and special agricultural workers under sections 210 and 245A of the Immigration and Nationality Act.

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Authorizing Statute(s): US Code: 8 USC 1255a Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1160 Name of Law: Immigration and Nationality Act
  

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:
	77 FR 21104	04/09/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 41797	07/16/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act	Form I-694	Notice of Appeal of Decision Under Section 210 or 245A

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ICR Summary of Burden

table that charts list 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	50	50	0	0	0	0
Annual Time Burden (Hours)	25	25	0	0	0	0
Annual Cost Burden (Dollars)	0	37,750	0	0	-37,750	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: $37,750

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: 09/27/2012

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