Application for Temporary Protected Status

Forms and Documents

Document Name	Status
I-821 Supporting Statement.docx Supporting Statement A	2019-02-27
30-Day-FRN_USCIS–2007–0013-20181127.pdf Supplementary Document	2019-01-28
60-Day-FRN-20180913_USCIS-2007-0013-0040.pdf Supplementary Document	2019-01-28
I821-INS-TOC-EXT-30Day-11192018.docx Supplementary Document	2019-01-28
DHS USCIS 018.pdf Supplementary Document	2019-01-28
DHS USCIS 007.pdf Supplementary Document	2019-01-28
DHS USICS ICE CBP 001.pdf Supplementary Document	2019-01-28
DHS USCIS PIA 056.pdf Supplementary Document	2019-01-28

IC Document Collections

IC ID	Document Title	Status
208983	Biometrics Processing	Modified
20326	Application for Temporary Protected Status Instruction	Modified

ICR Details

OMB Control No: 1615-0043	ICR Reference No: 201901-1615-001
Status: Historical Active	Previous ICR Reference No: 201803-1615-009
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-821
Title: Application for Temporary Protected Status
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/03/2019
	Date Received in OIRA: 02/28/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	8,000	0	146,876
Time Burden (Hours)	14,320	0	263,366
Cost Burden (Dollars)	490,000	0	9,318,256

---

Abstract: The information provided will be used by the USCIS to determine whether an applicant for Temporary Protected Status meets eligibility requirements.

---

Authorizing Statute(s): US Code: 8 USC 1254 Name of Law: Immigration Nationality Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 46510	09/13/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 60891	11/27/2018
Did the Agency receive public comments on this ICR? Yes

---

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Temporary Protected Status	I-821	Application for Temporary Protected Status
Biometrics Processing

---

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	8,000	146,876	0	0	-138,876	0
Annual Time Burden (Hours)	14,320	263,366	0	0	-249,046	0
Annual Cost Burden (Dollars)	490,000	9,318,256	0	0	-8,828,256	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: The decrease in annual burden hours is a result of the decrease in the number of respondents. The decrease in the annual cost burden is a result of the decrease in the number of respondents. There is no program change.

---

Annual Cost to Federal Government: $716,000

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

---

Common Form ICR:  No

---

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: 02/28/2019

---