Application for Deferred Action for Childhood Arrivals

Request for Deferred Action for Childhood Arrival

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0124 can be found here:

Documents and Forms

Document Name Document Type
Form I-821D Application for Deferred Action for Childhood Arrivals Form
I821D-INS-USCIS(DHS) -30Day-03312014.pdf Instruction
I-821D Consideration of Deferred Action for Childhood Arrivals I821D-FRM-USCIS(DHS) -30Day-03272014.pdf Form

Information Collection (IC) Details

IC Title:	Application for Deferred Action for Childhood Arrivals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-821D	Consideration of Deferred Action for Childhood Arrivals	I821D-FRM-USCIS(DHS) -30Day-03272014.pdf		Yes	No	Fillable Printable
Instruction			I821D-INS-USCIS(DHS) -30Day-03312014.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 244,602	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	244,602	-455,398	700,000
Annual IC Time Burden (Hours)	733,806	-1,191,194	1,925,000
Annual IC Cost Burden (Dollars)	41,949,303	41,949,303	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.