Approved for
only two years due to lack of GPEA compliance.
Inventory as of this Action
Requested
Previously Approved
04/30/2017
36 Months From Approved
04/30/2015
86,400
0
86,400
57,600
0
57,600
10,584,000
0
0
This form is used by an asylee or
refugee to file for immigration benefits on behalf of his/her
spouse or children provided that the relationship to the
refugee/asylee existed prior to their admission to the United
States. The data collected on this form is used by USCIS to
determine eligibility for the requested immigration
benefit
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.