Application for Family Unity Benefits

Application for Benefits Under the Family Unity Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0005 can be found here:

Documents and Forms

Document Name Document Type
Form I-817 Application for Family Unity Benefits Form
Form I-817 Application for Family Unity Benefits Form
I817-010-INS-FeeRule-OMBReview-NPRM-07082022.pdf www.uscis.gov/i-817 Instruction
I817-010-INS-FeeRule-OMBReview-NPRM-07082022.pdf www.uscis.gov/i-817 Instruction
I-817 Application for Family Unity Benefits I817-010-FRM-FeeRule-OMBReview-NPRM-07082022.pdf www.uscis.gov/i-817 Form
I-817 Application for Family Unity Benefits I817-010-FRM-FeeRule-OMBReview-NPRM-07082022.pdf www.uscis.gov/i-817 Form

Information Collection (IC) Details

IC Title:	Application for Family Unity Benefits	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 210

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-817	Application for Family Unity Benefits	I817-010-FRM-FeeRule-OMBReview-NPRM-07082022.pdf	https://www.uscis.gov/i-817	Yes	No	Fillable Printable
Instruction			I817-010-INS-FeeRule-OMBReview-NPRM-07082022.pdf	https://www.uscis.gov/i-817	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 1,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,000	0	1,000
Annual IC Time Burden (Hours)	1,817	-183	2,000
Annual IC Cost Burden (Dollars)	122,500	0	122,500

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.