Information Collection

Refugee Biographic Data

IC 14945 under ICR 202103-1405-002 · OMB 1405-0102.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0102 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Information Collection Intake Screenshots-PRA.docx	Instruction
SORN 2012.pdf State-59	IC Document
Notice on Confidentiality of Personal Information.doc NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION	IC Document

IC Title:

Refugee Biographic Data

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 207

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
Instruction			Information Collection Intake Screenshots-PRA.docx		Yes	No	Paper Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title: State-59, Refugee Case Records

FR Citation: 77 FR 5865

Number of Respondents: 10,124

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,124	-39,876	50,000
Annual IC Time Burden (Hours)	30,372	5,372	25,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
State-59	SORN 2012.pdf	03/22/2018
NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION	Notice on Confidentiality of Personal Information.doc	03/22/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.