Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security

Documents and Forms

Document Name Document Type
Form I-395 Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security Form and Instruction
I-395 Affidavit in Lieu of Lost Receipt of United States ICE f ICE Form I-395.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security	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
Form and Instruction	I-395	Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security	ICE Form I-395.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/ICE-004 Bond Management Information System (BMIS)	FR Citation: 76 FR 8761

Number of Respondents: 3,500	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	3,500	-9,000	12,500
Annual IC Time Burden (Hours)	1,750	-4,500	6,250
Annual IC Cost Burden (Dollars)	28,875	-58,625	87,500

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.