Special Immigrant Visa Biodata Form

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form DS-0234 Special Immigrant Visa Biodata Form	Form	Unchanged	Repair queued
Form DS-0234 Special Immigrant Visa Biodata Form	Form	Unchanged	Repair queued
Legal Authorities for DS-234.docx	Supplementary Document	Uploaded 2019-03-29	Repair queued
Final - Supporting Statement DS 234.docx	Supporting Statement A	Uploaded 2019-03-29	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
200665	Special Immigrant Visa Biodata Form	Form	Unchanged	Special Immigrant Visa Biodata Form
200665	Special Immigrant Visa Biodata Form	Form	Unchanged

ICR Details

OMB Control No: 1405-0203	ICR Reference No: 202101-1405-004
Status: Historical Active	Previous ICR Reference No: 201903-1405-004
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Special Immigrant Visa Biodata Form
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/11/2023
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/22/2021
Terms of Clearance: OMB is approving this information collection for one year due to failure to abide by the terms of clearance associated with the previous approval of this collection. The agency is advised that the previous terms of clearance continue to apply, and resubmission of this information collection without abiding by the terms of clearance will result in disapproval of the collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2024	36 Months From Approved	10/31/2023
Responses	14,000	0	14,000
Time Burden (Hours)	3,500	0	3,500
Cost Burden (Dollars)	0	0	0

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Abstract: The information in this collection will aid DOS/PRM partners to arrange travel, select a resettlement site and prepare for services needed by Iraqi or Afghan citizens who worked with the U.S. Government or contractor, obtained a Special Immigrant Visa (SIV) because of this employment, and elected refugee resettlement benefits.

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Authorizing Statute(s): PL: Pub.L. 110 - 181 1244(g) Name of Law: The Refugee Crisis in Iraq Act
   PL: Pub.L. 109 - 163 1059 Name of Law: National Defense Authorization Act
   PL: Pub.L. 110 - 161 525 Name of Law: Consolidated Appropriations Act
  

Citations for New Statutory Requirements: None

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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:
	85 FR 70702	11/05/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 5305	01/19/2021
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Special Immigrant Visa Biodata Form	DS-0234	Special Immigrant Visa Biodata Form

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ICR Summary of Burden

table that charts list 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	14,000	14,000	0	0	0	0
Annual Time Burden (Hours)	3,500	3,500	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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Annual Cost to Federal Government: $171,605

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? No

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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: 01/22/2021

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