Information Collection

Application for Deferred Action for Childhood Arrivals

IC 211038 under ICR 201406-1615-003 · OMB 1615-0124.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I821D-INS-USCIS(DHS) -30Day-03312014.pdf	Instruction

IC Title:

Application for Deferred Action for Childhood Arrivals

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

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
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: 350,000

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	Previously Approved
Annual Number of Responses for this IC	350,000	350,000
Annual IC Time Burden (Hours)	1,050,000	1,050,000
Annual IC Cost Burden (Dollars)	60,025,087	60,025,087

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.