Application for Temporary Protected Status

Forms and Documents

Document Name	Status
Form I-821 Application for Temporary Protected Status Form	Modified
83c I-821 final.pdf Justification for No Material/Nonsubstantive Change	2017-09-08
I821-INS-TOC-83C-07262015.docx Supplementary Document	2017-09-08
I821-TOC-83C-FRM-06162017.docx Supplementary Document	2017-09-08

IC Document Collections

IC ID	Document Title	Status
208983	Biometrics Processing	Unchanged
20326	Application for Temporary Protected Status Form	Modified

ICR Details

OMB Control No: 1615-0043	ICR Reference No: 201709-1615-001
Status: Historical Active	Previous ICR Reference No: 201610-1615-007
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-821
Title: Application for Temporary Protected Status
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2017
	Date Received in OIRA: 09/08/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	03/31/2019	03/31/2019
Responses	146,876	0	146,876
Time Burden (Hours)	263,366	0	263,366
Cost Burden (Dollars)	9,318,256	0	9,318,256

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Abstract: The information provided will be used by the USCIS to determine whether an applicant for Temporary Protected Status meets eligibility requirements.

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Authorizing Statute(s): US Code: 8 USC 1254 Name of Law: Immigration 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 32341	05/23/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 70130	10/11/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Biometrics Processing
Application for Temporary Protected Status	I-821	Application for Temporary Protected Status

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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	146,876	146,876	0	0	0	0
Annual Time Burden (Hours)	263,366	263,366	0	0	0	0
Annual Cost Burden (Dollars)	9,318,256	9,318,256	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: There has been a decrease of 428,971 total burden hours previously reported for this information collection from 656,171 to 227,200. The decrease can be attributed to a decrease in the estimated number of respondents from based on updated statistical projection data for fiscal year (FY) 2015, FY 2016, and FY 2017 The adjustment in public cost burden for the paper-based Form I-821 is based on a more accurate estimates for out-of-pocket expenses incurred by respondents, including postage and document preparation services for 25% of affected respondents. USCIS continues to exclude USCIS fees from public cost estimates because USCIS fees are more properly classified as transfers.

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Annual Cost to Federal Government: $13,228,933

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 09/08/2017

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