Visa Waiver Program Carrier Agreement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0110 can be found here:

Documents and Forms

Document Name Document Type
Form I-775 Visa Waiver Program Carrier Agreement Form and Instruction
I-775 Visa Waiver Program Agreement CBP_Form_I775.pdf forms.cbp.gov/pdf/CBP_Form_I775.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Visa Waiver Program Carrier Agreement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 217

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-775	Visa Waiver Program Agreement	CBP_Form_I775.pdf	http://forms.cbp.gov/pdf/CBP_Form_I775.pdf	Yes	No	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 400	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	400	400
Annual IC Time Burden (Hours)	200	200
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.