Supplement 1, Listing of Adult Member of the Household

Petition to Classify Orphan as an Immediate Relative and Application for Advance Processing of Orphan Petition

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0028 can be found here:

Documents and Forms

Document Name Document Type
Form Supplement 1 Supplement 1, Listing of Adult Member of the Household Form
Supplement 1 Form I-600A/Form I-600, Supplement 1, Listing of Adult M I600ASupp1-30Day-12202012.pdf Form

Information Collection (IC) Details

IC Title:	Supplement 1, Listing of Adult Member of the Household	Agency IC Tracking Number:	Supplement 1

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 204.3

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Supplement 1	Form I-600A/Form I-600, Supplement 1, Listing of Adult Member of the Household	I600ASupp1-30Day-12202012.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Inter-Country Adoptions Security	FR Citation: 72 FR 31086

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	625	625
Annual IC Cost Burden (Dollars)	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.