Information Collection

Affidavit of Support Under Section 213A of the Act

IC 204186 under ICR 202004-1615-002 · OMB 1615-0075.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-864EZ Affidavit of Support Under Section 213A of the Act	Form
I864EZ-005-INS-Rev-30Day-06222020.pdf www.uscis.gov/i-864ez	Instruction
I-864EZ Affiavit of Support of Support Under Section 213A of the I864EZ-005-FRM-Rev-30Day-06222020.pdf www.uscis.gov/i-864ez	Form

IC Title:

Affidavit of Support Under Section 213A of the Act

Agency IC Tracking Number:

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-864EZ	Affiavit of Support of Support Under Section 213A of the Act	I864EZ-005-FRM-Rev-30Day-06222020.pdf	https://www.uscis.gov/i-864ez	Yes	No	Fillable Printable
Instruction			I864EZ-005-INS-Rev-30Day-06222020.pdf	https://www.uscis.gov/i-864ez	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: 114,860

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	114,860	0	14,860	100,000
Annual IC Time Burden (Hours)	344,580	57,430	37,150	250,000
Annual IC Cost Burden (Dollars)	28,140,700	0	3,640,700	24,500,000

Documents for IC

table that charts IC Documents
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.