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Affidavit of Support Under Section 213A of the Act
Affidavit of Support Under Section 213A of the Act
OMB: 1615-0075
IC ID: 41275
OMB.report
DHS/USCIS
OMB 1615-0075
ICR 202102-1615-012
IC 41275
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:
2024-08-08 - Revision of a currently approved collection
2024-01-01 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form I-864
Affidavit of Support Under Section 213A of the Act
Form
I864-011-INS-PCR-02112021.pdf
www.uscis.gov/i-864
Instruction
I-864 Affidavit of Support Under Section 213A of the INA
I864-FRM-30Day-06192017.pdf
www.uscis.gov/i-864
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-864
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-864
Affidavit of Support Under Section 213A of the INA
I864-FRM-30Day-06192017.pdf
https://www.uscis.gov/i-864
Yes
No
Fillable Printable
Instruction
I864-011-INS-PCR-02112021.pdf
https://www.uscis.gov/i-864
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
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:
453,345
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
453,345
0
0
0
0
453,345
Annual IC Time Burden (Hours)
2,720,070
0
0
0
0
2,720,070
Annual IC Cost Burden (Dollars)
111,069,525
0
0
0
0
111,069,525
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.