Information Collection

Agency Alien Witness and Informant Adjustment of Status

IC 212234 under ICR 201405-1615-002 · OMB 1615-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0046 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-854B Agency Alien Witness and Informant Adjustment of Status	Form
I854AB-INS-WIP-12052013.pdf	Instruction
I-854B Agency Alien Witness and Informant Adjustment of Status I854B-FRM-WIP-12052013.pdf	Form

IC Title:

Agency Alien Witness and Informant Adjustment of Status

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 214

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-854B	Agency Alien Witness and Informant Adjustment of Status	I854B-FRM-WIP-12052013.pdf		Yes	No	Fillable Printable
Instruction			I854AB-INS-WIP-12052013.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS FDNS - DS

FR Citation: 73 FR 48231

Number of Respondents: 150

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
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

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.