Information Collection

Application for Benefits Under the Family Unity Program

IC 20230 under ICR 201301-1615-010 · OMB 1615-0005.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0005 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-817 Application for Family Unity Benefits Application for Benefits Under the Family Unity Program	Form
I817-INS-OMBReview-06262013.pdf	Instruction
I-817 Application for Family Unity Benefits I817-FRM-60Day-09182012.pdf	Form

IC Title:

Application for Benefits Under the Family Unity Program

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 210

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-817				Yes	No	Fillable Printable
Instruction					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: 2,384

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	Previously Approved
Annual Number of Responses for this IC	2,384	634	1,750
Annual IC Time Burden (Hours)	4,768	1,268	3,500
Annual IC Cost Burden (Dollars)	0	-910,000	910,000

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.

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