Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees

Forms and Documents

Document Name	Status
Form DS 7655 Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees Form	Modified
FINAL - 30 day Support Statement.docx Supporting Statement A	2018-11-30
Legal Authorities 2018.docx Supplementary Document	2018-11-30

IC Document Collections

IC ID	Document Title	Status
188861	Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees Form	Modified

ICR Details

OMB Control No: 1405-0184	ICR Reference No: 201811-1405-004
Status: Historical Inactive	Previous ICR Reference No: 201512-1405-001
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 03/27/2019
	Date Received in OIRA: 11/30/2018
Terms of Clearance: Agency has concluded that this Collection can be discontinued.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2019	36 Months From Approved	03/31/2019
Responses	200	0	200
Time Burden (Hours)	100	0	100
Cost Burden (Dollars)	0	0	0

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Abstract: The information from this collection will be used to process and adjudicate refugee, asylum, special immigrant visa and other immigration claims and applications.

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Authorizing Statute(s): PL: Pub.L. 110 - 181 1248 Name of Law: Refugee Crisis in Iraq Act (PL 110-181)
   US Code: 8 USC 1157 Name of Law: Refugee Act of 1980
  

Citations for New Statutory Requirements: PL: Pub.L. 110 - 181 1248 Name of Law: National Defense Authorization Act

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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
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 27819	06/14/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 61398	11/29/2018
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees	DS 7655	Iraqi Citizens and Nationals Employed by Federal Contractors and Grantees

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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:

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Annual Cost to Federal Government: $675

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.     No

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: 11/30/2018

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