Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-566 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	Form	Modified	Available
I566-INS-TOC-30Day-03082013.docx	Supplementary Document	Uploaded 2013-03-22	Available
I566-FRM-TOC-30Day-03082013.docx	Supplementary Document	Uploaded 2013-03-22	Available
8 CFR 214.2.docx	Supplementary Document	Uploaded 2013-03-21	Available
INA 101.docx	Supplementary Document	Uploaded 2013-03-21	Available
Supporting Statement 1615-0027 I-566 2013-3-28.doc	Supporting Statement A	Uploaded 2013-03-28	Available
PIA.pdf	Supplementary Document	Uploaded 2011-12-30	Available
SORN.docx	Supplementary Document	Uploaded 2013-03-21	Available
30-day FRN 2013-3-20 1615-0027 I-566.pdf	Supplementary Document	Uploaded 2013-03-21	Available
60-day FRN 2012-12-18 1615-0027 I-566.pdf	Supplementary Document	Uploaded 2013-03-21	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20289	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	Form	Modified

ICR Details

OMB Control No: 1615-0027	ICR Reference No: 201303-1615-007
Status: Historical Active	Previous ICR Reference No: 201112-1615-007
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-566
Title: Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/12/2013
	Date Received in OIRA: 03/28/2013
Terms of Clearance: Approved for two years only due to lack of GPEA compliance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2013
Responses	5,800	0	5,800
Time Burden (Hours)	8,236	0	1,450
Cost Burden (Dollars)	0	0	0

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Abstract: This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NATO personnel by the DHS, DOS, DOD, and NATO/HQ SACT.

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Authorizing Statute(s): US Code: 8 USC 1101 Name of Law: U.S. Code
  

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 74861	12/12/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 17221	03/20/2013
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
Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	I-566	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

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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	5,800	5,800	0	0	0	0
Annual Time Burden (Hours)	8,236	1,450	0	0	6,786	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: There has been an increase in the estimated burden hours previously reported for this collection of information. The increase is due to additions to the form and instructions which are detailed in the Table of Changes, submitted for review separately. The burden time also has increased due to a better estimation of the overall burden the respondents encounter in reading the instructions and completing the form.

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Annual Cost to Federal Government: $232,000

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: 03/28/2013

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