Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0079 can be found here:

Documents and Forms

Document Name Document Type
Form I-102 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form
I102-INS-CBPIFR-02262013.pdf Instruction
I-102 Application for Replacement/Initial Nonimmigrant Arrival I102-FRM-30Day-05232012.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement/Initial Nonimmigrant Arrival-Departure Document	Agency IC Tracking Number:	I-102

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 264

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-102	Application for Replacement/Initial Nonimmigrant Arrival-Departure Document	I102-FRM-30Day-05232012.pdf		Yes	No	Fillable Printable
Instruction			I102-INS-CBPIFR-02262013.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: U.S. Citizenship and Immigration Services Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 6,782	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,782	-10,918	17,700
Annual IC Time Burden (Hours)	2,821	-4,542	7,363
Annual IC Cost Burden (Dollars)	0	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.