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pdfPA PERW ORK REDUCTION A CT SUBM ISSION
Please read the instructions before completing this form. For additional forms or assistance in completing this form, contact your agency's Paperwork
Clearance Officer. Send two copies of this form, the collection instrument to be reviewed, the Supporting Statement, and any additional documentation
to: Office of Information and Regulatory Affairs, Office of Management and Budget, Docket Library, Room 10102, 725 17th Street NW,
Washington, DC 20503.
1. Agency/Subagency originating request
2. OM B control nu mbe r
Department of Justice, Executive Office for Immigration Review
a.
1125
-
b.
3. Type of information collection (check one)
New collection
a.
Revision of a currently approved collection
b.
✔
c.
Extension, without change, of a currently approved collection
Reinstatement, without change, of a previously approved collection for
d.
which approval has expired
Reinstatement, with change, of a previously approved collection for which
e.
approval has expired
f.
Existing collection in use without an OMB control number
4. Type of review requested (check one)
a. ✔ Regular
Em ergency - A pproval reque sted by:
b.
c.
Delegated
3a. Public C omm ents
Has the agency received public comments on this information collection?
6. Requ ested expiration d ate
a. ✔ Three years from approval date
✔
Yes
None
0009
/
/
5. Small entities
Will this information collection have a significant economic impact on a
✔ No
Yes
substantial number of small entities?
b.
Other Specify:
/
No
7. Title
Application for Suspension of Deportation
8. Agenc y form num ber(s) (if applicable)
EOIR-40
9. Keywords
Deportation, Suspension, Alien, Immigration
10. Abstract
The Form EOIR-40 is filed in Immigration Court by certain deportable aliens who seek to have their deportation suspended and to become lawful
permanent residents.
11. Affected public (Mark primary with "P" and all others that apply with "X")
a.
b.
c.
P
d.
e.
f.
Individuals or households
Bus iness or othe r for-pro fit
Not-for-profit institutions
F a rm s
Federal Government
State, Local or T ribal Govern men t
12. Obligation to respond (Mark primary with "P" and all others that apply with "X")
a.
b.
c.
Department
Voluntary of Justice, Executive Office for Immigration Review
1125
Required to obtain or retain bene fits
0009
Mand atory
13. Annual reporting and recordkeeping hour burden
160
a. Num ber of respond ents
b. Total annual responses
160
1.Percentage of these responses
%
collected electronically
0
c. Total annual hours requested 920
1023.5
d. Current O MB inventory
-103.5
e. Difference
f. Explanation of difference
1. Program change
2. Adjustment
decrease in annual responses
14. Annual reporting and recordkeeping cost burden (in thousands of dollars)
a. Total annualized capital/startup costs
0
b . T o ta l a nn ua l c os ts (O & M )
0
c. Total annualized cost requested
0
d. Current O MB inventory
0
e. Difference
N/A
f. Explanation of difference
N/A
1. Program change
2. Adjustment
N/A
15. Purpose of information collection
others that apply with "X")
a. P Application for be nefits
b.
Program evaluation
c.
General purpose statistics
d.
Aud it
16. Frequency of recordkeeping or reporting (check all that apply)
a.
b.
Reco rdkeeping
Third party disc losure
c. ✔ Reporting
1.
2.
3.
On occ asion
Wee kly
Mo nthly
4.
Quarterly
5.
Sem i-annually 6.
Ann ually
7.
Biennially
8. ✔ Other (de scribe) as needed
(M ark prim ary with "P " an d all
e.
f.
g.
Program planning or management
Research
Regulatory or compliance
17. Statistical methods
Does this information collection employ statistical methods?
Yes
✔
No
18. Agen cy contact (person who can bes t ans we r qu es tion s reg ard ing the c on ten t of this
submission)
Nam e:
Phone:
Christina Baptista
703-305-0470
02/04
OMB 83-I
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File Type | application/pdf |
File Title | Paperwork Reduction Act Submission (OMB 83-I) |
Subject | Paperwork Reduction Act Submission (OMB 83-I) |
Author | OMB |
File Modified | 2015-06-26 |
File Created | 1999-03-02 |