83C Justification

I-912 83C PC Inj Stay 20200921.pdf

Request for Fee Waiver

83C Justification

OMB: 1615-0116

Document [pdf]
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PAPERWORK REDUCTION ACT

CHANGE WORKSHEET

Agency/subagency

OMB Control Number

DHS/USCIS

-116
1615
___ ___
___ ___ - ___
___ ___ ___
Enter only items that change
Current record

New record

Agency form number (s)

Form I-912

Annual reporting and recordkeeping hour
burden
Number of respondents
Total annual responses
Percent of these responses
collected electronically

%

%

Total annual hours
Difference
Explanation of difference
Program change
Adjustment
Annual reporting and recordkeeping cost
burden (in thousands of dollars)
Total annualized Capital/Startup costs
Total annual costs (O&M)
Total annualized cost requested
Difference
Explanation of difference
Program change
Adjustment
Other changes**

In response to the stay on the Public Charge (1615-AA22) injunction September 2020, USCIS is removing the Public Charge
language that was noted in red in the instruction document.
Signature of Senior Official or designee:

Date:

9/21/2020
** This form cannot be used to extend an expiration date.

OMB 83-C

For OIRA Use
___________________________________
___________________________________

10/95



File Typeapplication/pdf
File TitlePaperwork Reduction Act Submission (OMB 83-I)
SubjectPaperwork Reduction Act Submission (OMB 83-I)
AuthorOMB
File Modified2020-09-21
File Created1999-03-02

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