Affidavit of Support Under Section 213A of the Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Document Name Document Type
Form I-864W Affidavit of Support Under Section 213A of the Act Form
I864W-INS-30Day-06192017.pdf www.uscis.gov/i-864w Instruction
I-864W Intending Immigrant's Affidavit of Support Exemption I864W-FRM-30Day-06192017.pdf www.uscis.gov/i-864w Form

Information Collection (IC) Details

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IC Title:	Affidavit of Support Under Section 213A of the Act	Agency IC Tracking Number:	I-864W

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-864W	Intending Immigrant's Affidavit of Support Exemption	I864W-FRM-30Day-06192017.pdf	https://www.uscis.gov/i-864w	Yes	No	Fillable Printable
Instruction			I864W-INS-30Day-06192017.pdf	https://www.uscis.gov/i-864w	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: 81 FR 72069

Number of Respondents: 98,119	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	98,119	97,119	1,000
Annual IC Time Burden (Hours)	98,119	97,119	1,000
Annual IC Cost Burden (Dollars)	24,039,155	24,039,155	0

Documents for IC

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.