Affidavit of Relationship for Minors from Honduras, El Salvador and Guatemala

Forms and Documents

Document Name	Status
Form DS-7699 Affidavit of Relationship for Minors from Honduras, El Salvador and Guatemala Form and Instruction	Modified
Justification for Non Substantive Change Request.docx Justification for No Material/Nonsubstantive Change	2016-11-02
Signed Policy Memo Requesting Emergency Prcocessing.pdf Supplementary Document	2016-09-16
7 DS-7699 legalAuthorities.docx Supplementary Document	2016-09-16
5 justificationemergreview DS-7699 Expansion FINAL.docx Supplementary Document	2016-09-16
DS 7699 Supporting Statement - DHS Cmmtsclean.docx Supporting Statement A	2016-10-19

IC Document Collections

IC ID	Document Title	Status
213819	Affidavit of Relationship for Minors from Honduras, El Salvador and Guatemala Form and Instruction	Modified

ICR Details

OMB Control No: 1405-0217	ICR Reference No: 201610-1405-004
Status: Historical Active	Previous ICR Reference No: 201609-1405-002
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Affidavit of Relationship for Minors from Honduras, El Salvador and Guatemala
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 09/30/2016
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/02/2016
	Date Received in OIRA: 10/31/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	04/30/2017	04/30/2017
Responses	5,000	0	5,000
Time Burden (Hours)	10,000	0	10,000
Cost Burden (Dollars)	22,400	0	22,400

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Abstract: The Department of State Bureau of Population, Refugees, and Migration (PRM) is responsible for coordinating and managing the U.S. Refugee Admissions Program (USRAP). PRM coordinates within the Department of State, as well as with the Department of Homeland Security's U.S. Citizenship and Immigration Services (DHS/USCIS), in carrying out this responsibility. A critical part of the State Department's responsibility is determining which individuals, from among millions of refugees worldwide, will have access to U.S. resettlement consideration. PRM and DHS/USCIS are now assisting with the preparation of a White House directive to initiate an in-country program to provide a means for certain persons in the United States who are lawfully present ("anchor parents") to claim a relationship with child(ren) in Honduras, El Salvador, and Guatemala and to assist the U.S. Department of State in determining whether those child(ren) are qualified to apply for access to the USRAP for family reunification purposes. This form also assists DHS/USCIS to verify parent-child relationships during refugee case adjudication. The main purpose of the DS-7699 is for the anchor parent to provide biographical information about his/her child(ren) in the qualifying countries who may subsequently seek access to the USRAP for verification by the U.S. government.

Emergency Justfication: This form is necessary for implementation of this program, announced by the White House on July 26, 2016. The use of normal clearance procedures would severely impact the Department's ability to provide protection and family reunification.

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Authorizing Statute(s): US Code: 20 USC 8 U.S.C. 1157 Name of Law: INA: Act 207 - ANNUAL ADMISSION OF REFUGEES AND ADMISSION OF EMERGENCY SITUATION REFUGEES
  

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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Affidavit of Relationship for Minors from Honduras, El Salvador and Guatemala	DS-7699, DS-7699	Affidavit of Relationship for Minors from Honduras, El Salvador, or Guatemals ,   Affidavit of Relationship for Minors from Honduras, El Salvador, or Guatemala

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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	5,000	5,000	0	0	0	0
Annual Time Burden (Hours)	10,000	10,000	0	0	0	0
Annual Cost Burden (Dollars)	22,400	22,400	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: $3,035,333

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: 10/31/2016

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