Arrival and Departure Record

Forms and Documents

Document Name	Status
Form I-94 Arrival and Departure Record I-94 Form and Instruction	Unchanged
Form I-94W I-94W Nonimmigrant Visa Waiver Arrival/Departure Form and Instruction	Modified
1651-0111 2016 FR 30 Extension with social media.pdf Supplementary Document	2016-08-31
FR 60 extension with social media.pdf Supplementary Document	2016-07-14
ESTA PRA FAQs FINAL Dec 2016.docx Supplementary Document	2016-12-19
Visa Waiver Program Improvement and Terrorist Travel Prevention Act of 2015.pdf Supplementary Document	2016-02-22
Emergency Memo (CIO Signature - 06 16 16).pdf Supplementary Document	2016-06-17
PIA- ESTA Sept. 2016.pdf Supplementary Document	2016-12-19
ESTA SORN Sept 2016.pdf Supplementary Document	2016-12-19
ESTA Social Media Supporting Statement FINAL.docx Supporting Statement A	2016-12-19
Travel Promotion Act.pdf Supplementary Document	2010-07-13
9-11 Act PL 110-53.doc Supplementary Document	2010-03-18
8 CFR 217 and 212 1(e).doc Supplementary Document	2010-03-18
Supporting Laws.doc Supplementary Document	2008-03-04

IC Document Collections

IC ID	Document Title	Status
20892	Arrival and Departure Record I-94 Form and Instruction	Unchanged
206017	I-94 Website Other-Website	Modified
184545	Electronic System for Travel Authorization (ESTA) Other-Website: ESTA	Modified
184027	I-94W Nonimmigrant Visa Waiver Arrival/Departure Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0111	ICR Reference No: 201607-1651-003
Status: Historical Active	Previous ICR Reference No: 201606-1651-004
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Arrival and Departure Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/19/2016
	Date Received in OIRA: 08/31/2016
Terms of Clearance: Within six months from the date of this approval CBP will submit an ESTA/I-94W customer satisfaction survey for fast track approval under OMB control number 1651-0136. As stated in the Privacy Impact Assessment, DHS has agreed to a privacy compliance review (PCR) as part of their inclusion of the request for social media handles on the ESTA and I-94W. As part of the PCR: a) DHS will brief OMB in early April 2017 on the methodology being used for the PCR and will receive and incorporate OMB's input, as appropriate; and b) DHS will brief OMB in late October 2017 after the analytical part of the PCR is completed. DHS and OMB will work to adjust the collection as appropriate in response to the results of the PCR. Any expansion of the social media element of this collection will require the full notice and comment process of the Paperwork Reduction Act absent any of the factors described in 5 CFR 1320.13.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	32,197,623	0	32,197,623
Time Burden (Hours)	9,902,378	0	9,902,378
Cost Burden (Dollars)	296,993,046	0	296,993,046

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Abstract: Form I-94 (Arrival/Departure Record) and Form I-94W (Nonimmigrant Visa Waiver Arrival/Departure) are used to document a traveler's admission into the United States. These forms include date of arrival, visa classification and the date the authorized stay expires. The forms are also used by business employers and other organizations to confirm legal status in the United States. The Electronic System for Travel Authorization (ESTA) applies to aliens traveling to the United States under the Visa Waiver Program (VWP) and requires that VWP travelers provide information electronically to CBP before embarking on travel to the United States.

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Authorizing Statute(s): PL: Pub.L. 111 - 145 9 Name of Law: Travel Promotion Act
   US Code: 8 USC 217 Name of Law: Immigration and Nationality Act
   PL: Pub.L. 110 - 53 711 Name of Law: 9/11 Act
   US Code: 8 USC 235 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 231 Name of Law: Immigration and Nationality Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 40892	06/23/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 60014	08/31/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
I-94 Website
Electronic System for Travel Authorization (ESTA)
Arrival and Departure Record I-94	I-94	Arrival/Departure Record
I-94W Nonimmigrant Visa Waiver Arrival/Departure	I-94W	Non Immigrant Visa Waiver Arrival/Departure Record

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	32,197,623	32,197,623	0	0	0	0
Annual Time Burden (Hours)	9,902,378	9,902,378	0	0	0	0
Annual Cost Burden (Dollars)	296,993,046	296,993,046	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/31/2016

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