Guarantee of Payment

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-510 Guarantee of Payment	Form and Instruction	Modified	Available
SORN Passenger-Crew Lists.doc	Supplementary Document	Uploaded 2013-01-09	Available
FR 30 2013.pdf	Supplementary Document	Uploaded 2013-01-09	Available
FR 60 2012.pdf	Supplementary Document	Uploaded 2013-01-09	Available
Statement 2012.doc	Supporting Statement A	Uploaded 2013-01-09	Available
8 CFR 253.doc	Supplementary Document	Uploaded 2009-12-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
21009	Guarantee of Payment	Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0127	ICR Reference No: 201301-1651-001
Status: Historical Active	Previous ICR Reference No: 200912-1651-001
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Guarantee of Payment
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: 05/15/2013
	Date Received in OIRA: 02/25/2013
Terms of Clearance: CBP is encouraged to explore electronic submission options.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	05/31/2013
Responses	100	0	100
Time Burden (Hours)	8	0	8
Cost Burden (Dollars)	0	0	0

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Abstract: Section 253 of the INA provides that the matter or agent of a vessel or aircraft shall guarantee payment for expenses incurred for an alien crewman who arrived in the United States and is afflicted with any disease or illness mentioned in Section 255 of the INA.

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Authorizing Statute(s): US Code: 8 USC 253 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 65899	10/31/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 1220	01/08/2013
Did the Agency receive public comments on this ICR? No

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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
Guarantee of Payment	I-510	Guarantee of Payment

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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	100	100	0	0	0	0
Annual Time Burden (Hours)	8	8	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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: $336

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: 02/25/2013

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