Arrival and Departure Record

Forms and Documents

Document Name	Status
Form I-94 Arrival and Departure Record I-94 Form and Instruction	Unchanged
Form I-94W I-94W Nonimmigrant Visa Waiver Arrival/Departure Form and Instruction	Modified
Emergecy Memo for 1651-0111 and 1651-0139.pdf Supplementary Document	2018-10-11
1651-0111 2016 FR 30 Extension with social media.pdf Supplementary Document	2016-08-31
FR 60 extension with social media.pdf Supplementary Document	2016-07-14
ESTA PRA FAQs FINAL Dec 2016.docx Supplementary Document	2016-12-19
Visa Waiver Program Improvement and Terrorist Travel Prevention Act of 2015.pdf Supplementary Document	2016-02-22
Emergency Memo (CIO Signature - 06 16 16).pdf Supplementary Document	2016-06-17
PIA- ESTA Sept. 2016.pdf Supplementary Document	2016-12-19
ESTA SORN Sept 2016.pdf Supplementary Document	2016-12-19
Amended DPRK addition ESTA 1651-0111 2019 SS.docx Supporting Statement A	2019-02-12
Travel Promotion Act.pdf Supplementary Document	2010-07-13
9-11 Act PL 110-53.doc Supplementary Document	2010-03-18
8 CFR 217 and 212 1(e).doc Supplementary Document	2010-03-18
Supporting Laws.doc Supplementary Document	2008-03-04

IC Document Collections

IC ID	Document Title	Status
20892	Arrival and Departure Record I-94 Form and Instruction	Unchanged
206017	I-94 Website Other-Website	Unchanged
184545	Electronic System for Travel Authorization (ESTA) Other-Website: ESTA	Modified
184027	I-94W Nonimmigrant Visa Waiver Arrival/Departure Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0111	ICR Reference No: 201810-1651-001
Status: Historical Active	Previous ICR Reference No: 201607-1651-003
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Arrival and Departure Record
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Emergency	Approval Requested By: 10/11/2018
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/16/2019
	Date Received in OIRA: 10/11/2018
Terms of Clearance: Previous terms of clearance continue to apply.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2019	6 Months From Approved	12/31/2019
Responses	32,197,623	0	32,197,623
Time Burden (Hours)	9,908,998	0	9,902,378
Cost Burden (Dollars)	296,993,046	0	296,993,046

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Abstract: Form I-94 (Arrival/Departure Record) and Form I-94W (Nonimmigrant Visa Waiver Arrival/Departure) are used to document a traveler's admission into the United States. These forms include date of arrival, visa classification and the date the authorized stay expires. The forms are also used by business employers and other organizations to confirm legal status in the United States. The Electronic System for Travel Authorization (ESTA) applies to aliens traveling to the United States under the Visa Waiver Program (VWP) and requires that VWP travelers provide information electronically to CBP before embarking on travel to the United States.

Emergency Justfication: To meet the requirements and intent of the law, the Department of Homeland Security (DHS) is strengthening the security of the United States through enhancements to the ESTA application, and the Form I-94W. Because the INA, as amended by the VWP Improvement Act, renders ineligible for VWP travel (with some exceptions) any applicant who is a dual national of, or has at any time on or after March 1, 2011 been present in a country that is designated a SST, prompt action to implement the bar is required.

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Authorizing Statute(s): PL: Pub.L. 111 - 145 9 Name of Law: Travel Promotion Act
   US Code: 8 USC 217 Name of Law: Immigration and Nationality Act
   PL: Pub.L. 110 - 53 711 Name of Law: 9/11 Act
   US Code: 8 USC 235 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 231 Name of Law: Immigration and 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

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
I-94 Website
Electronic System for Travel Authorization (ESTA)
I-94W Nonimmigrant Visa Waiver Arrival/Departure	I-94W	Non Immigrant Visa Waiver Arrival/Departure Record
Arrival and Departure Record I-94	I-94	Arrival/Departure Record

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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	32,197,623	32,197,623	0	0	0	0
Annual Time Burden (Hours)	9,908,998	9,902,378	0	0	6,620	0
Annual Cost Burden (Dollars)	296,993,046	296,993,046	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 was a change in burden due to updated agency estimates in time per response. no change in number of respondents

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Annual Cost to Federal Government: $0

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: 10/11/2018

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