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Non-form Request for Fee Waiver
Request for Fee Waiver
OMB: 1615-0116
IC ID: 204678
OMB.report
DHS/USCIS
OMB 1615-0116
ICR 201712-1615-011
IC 204678
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0116 can be found here:
2024-02-08 - Revision of a currently approved collection
2023-01-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Non-Form Request for Fee Waiver.docx
Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Non-form Request for Fee Waiver
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
8 CFR 103.7
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Non-Form Request for Fee Waiver.docx
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
8,400
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
8,400
0
0
5,876
0
2,524
Annual IC Time Burden (Hours)
9,828
0
0
6,875
0
2,953
Annual IC Cost Burden (Dollars)
31,500
0
0
22,035
0
9,465
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.