I-94W Nonimmigrant Visa Waiver Arrival/Departure

Arrival and Departure Record

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1651-0111 can be found here:

Documents and Forms

Document Name Document Type
Form I-94W I-94W Nonimmigrant Visa Waiver Arrival/Departure Form
I-94W Nonimmigrant Visa Waiver Arrival Departure (Proposed Ver Form I-94W English APPROVED DRAFT with new questions.pdf www.cbp.gov/sites/default/files/documents/%20I-94W%20English%20%2811-11%29%20FINAL%20%28reference%20only%29.pdf Form

Information Collection (IC) Details

IC Title:	I-94W Nonimmigrant Visa Waiver Arrival/Departure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

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	I-94W	Nonimmigrant Visa Waiver Arrival Departure (Proposed Version)	Form I-94W English APPROVED DRAFT with new questions.pdf	http://www.cbp.gov/sites/default/files/documents/%20I-94W%20English%20%2811-11%29%20FINAL%20%28reference%20only%29.pdf	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: NonImmigrant Information System	FR Citation: 73 FR 77739

Number of Respondents: 941,291	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	941,291	841,291	100,000
Annual IC Time Burden (Hours)	125,192	111,892	13,300
Annual IC Cost Burden (Dollars)	5,647,746	5,047,746	600,000

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.