Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

ICR 202103-1615-007

OMB: 1615-0079

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2021-03-16
Supplementary Document
2021-03-16
Supporting Statement A
2021-03-16
Supplementary Document
2019-09-09
Supplementary Document
2017-08-11
Supplementary Document
2017-08-11
Supplementary Document
2017-08-21
Supplementary Document
2017-08-11
Supplementary Document
2017-08-11
IC Document Collections
ICR Details
1615-0079 202103-1615-007
Received in OIRA 202007-1615-002
DHS/USCIS I-102
Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Extension without change of a currently approved collection   No
Regular 03/31/2021
  Requested Previously Approved
36 Months From Approved 11/30/2021
4,100 4,100
3,075 3,075
1,182,440 1,182,440

An alien temporarily residing in the United States can use this form to request a replacement of his or her lost, stolen, mutilated arrival-departure document, or he or she may also request a new arrival-departure record, if one was not issued when he or she was last admitted as a nonimmigrant, and has not since been issued such record but is in need of one USCIS uses the information provided by the requester to verify eligibility, as well as his or her status, process the request and issue a new or replacement arrival-departure record.

US Code: 8 USC 1304 Name of Law: U.S. Code
  
None

Not associated with rulemaking

  85 FR 68908 10/30/2020
86 FR 14336 03/15/2021
No

  Total Request 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 4,100 4,100 0 0 0 0
Annual Time Burden (Hours) 3,075 3,075 0 0 0 0
Annual Cost Burden (Dollars) 1,182,440 1,182,440 0 0 0 0
No
No

$1,824,500
No
    Yes
    Yes
No
No
No
No
Kerstin Jager 214 489-8022 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/31/2021


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