Application for Deferred Action for Childhood Arrivals

Request for Deferred Action for Childhood Arrival

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0124 can be found here:

Documents and Forms

Document Name Document Type
i-821dinstr.pdf Instruction

Information Collection (IC) Details

IC Title:	Application for Deferred Action for Childhood Arrivals	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			i-821dinstr.pdf		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: 73 FR 56596

Number of Respondents: 418,775	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	418,775	218,469	200,306
Annual IC Time Burden (Hours)	1,256,325	655,407	600,918
Annual IC Cost Burden (Dollars)	46,065,250	11,712,721	34,352,529

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.