Information Collection

Affidavit of Support Under Section 213A of the Act

IC 204187 under ICR 201209-1615-003 · OMB 1615-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-864W Affidavit of Support Under Section 213A of the Act	Form
i-864winstr.pdf	Instruction
I-864W Intending Immigrant's Affidavit of Support Exemption i-864w.pdf	Form

IC Title:

Affidavit of Support Under Section 213A of the Act

Agency IC Tracking Number:

I-864W

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213A (To search for a specific CFR, visit the Code of Federal Regulations.)

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	I-864W	Intending Immigrant's Affidavit of Support Exemption	i-864w.pdf		Yes	No	Fillable Printable
Instruction			i-864winstr.pdf		Yes	No	Printable Only

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: 1,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	1,000	1,000
Annual IC Time Burden (Hours)	1,000	1,000
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.