Information Collection

Application for Temporary Protected Status (paper filed)

IC 20326 under ICR 202201-1615-004 · OMB 1615-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-821 Application for Temporary Protected Status (paper filed)	Form
i-821instr.pdf	Instruction
i-821instr.pdf	Instruction
I-821 Application for Temporary Protected Status i-821.pdf	Form
I-821 Application for Temporary Protected Status i-821.pdf	Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Application for Temporary Protected Status (paper filed)

Agency IC Tracking Number:

I-821

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 244

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
Form	I-821	Application for Temporary Protected Status	i-821.pdf		Yes	Yes	Fillable Fileable
Instruction			i-821instr.pdf		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: Alien File, Index and National File Tracking System of Records, Benefits Information System, Electronic Immigration System-2 Account and Case Management System of Records

FR Citation: 82 FR 43556

Number of Respondents: 453,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	453,600	450,400	3,200
Annual IC Time Burden (Hours)	1,093,176	1,085,464	7,712
Annual IC Cost Burden (Dollars)	49,905,607	49,513,607	392,000

Documents for IC

table that charts IC Documents
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.