Information Collection

Application for Advance Permission to Return to Unrelinquished Domicile

IC 20264 under ICR 201305-1615-003 · OMB 1615-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0016 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-191 Application for Advance Permission to Return to Unrelinquished Domicile	Form
I191-INS-30Day-EXT-06042013.pdf www.uscis.gov/i-191	Instruction
I-191 Application for Advance Permission to Return to Unrelinq I191-FRM-30Day-EXT-03132013.pdf www.uscis.gov/i-191	Form

IC Title:

Application for Advance Permission to Return to Unrelinquished Domicile

Agency IC Tracking Number:

I-191

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212

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-191	Application for Advance Permission to Return to Unrelinquished Domicile	I191-FRM-30Day-EXT-03132013.pdf	http://www.uscis.gov/i-191	Yes	No	Fillable Printable
Instruction			I191-INS-30Day-EXT-06042013.pdf	http://www.uscis.gov/i-191	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/USCIS-007 Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 300

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	300	0	300
Annual IC Time Burden (Hours)	300	225	75
Annual IC Cost Burden (Dollars)	0	-175,500	175,500

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.