Application for Temporary Protected Status (USCIS ELIS)

Application for Temporary Protected Status

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0043 can be found here:

Documents and Forms

Document Name Document Type
Form I-821 USCIS ELIS Application for Temporary Protected Status (USCIS ELIS) Form and Instruction
I-821 USCIS ELIS Application for Temporary Protected Status I-821 Screenshots 10112013.pdf www.uscis.gov/i-821 Form and Instruction
Form I-821 ELIS Application for Temporary Protected Status (ELIS) I-821 Screenshots w OMB Control Number 01132014.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Application for Temporary Protected Status (USCIS ELIS)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 244

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-821 USCIS ELIS	Application for Temporary Protected Status	I-821 Screenshots 10112013.pdf	http://www.uscis.gov/i-821	Yes	Yes	Fillable Fileable Signable
Form and Instruction	Form I-821 ELIS	Application for Temporary Protected Status (ELIS)	I-821 Screenshots w OMB Control Number 01132014.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Electronic Immigration System-2 Account and Case Management System of Records	FR Citation: 78 FR 20673

Number of Respondents: 102,455	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	102,455	102,455
Annual IC Time Burden (Hours)	179,296	179,296
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.