Affidavit of Support Under Section 213A of the Act

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Document Name Document Type
Form I-864A Affidavit of Support Under Section 213A of the Act Form
I864A-INS-30Day-06192017.pdf www.uscis.gov/i-864a Instruction
I-864A Contract Between Sponsor and Household Member I864A-FRM-30Day-06192017.pdf www.uscis.gov/i-864a Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidavit of Support Under Section 213A of the Act	Agency IC Tracking Number:	I-864A

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-864A	Contract Between Sponsor and Household Member	I864A-FRM-30Day-06192017.pdf	https://www.uscis.gov/i-864a	Yes	No	Fillable Printable
Instruction			I864A-INS-30Day-06192017.pdf	https://www.uscis.gov/i-864a	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: 81 FR 72069

Number of Respondents: 215,800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	215,800	172,908	42,892
Annual IC Time Burden (Hours)	377,650	302,589	75,061
Annual IC Cost Burden (Dollars)	0	0	0

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.