Application for Deferred Action for Childhood Arrivals (Initial Requests)

Request for Deferred Action for Childhood Arrival

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0124 can be found here:

Documents and Forms

Document Name Document Type
Form I-821D Application for Deferred Action for Childhood Arrivals (Initial Requests) Form
Form I-821D Application for Deferred Action for Childhood Arrivals (Initial Requests) Form
I821D-013-INS-FeeRule-OMBReview-NPRM-12212022.pdf www.uscis.gov/i-821d Instruction
I821D-013-INS-FeeRule-OMBReview-NPRM-12212022.pdf www.uscis.gov/i-821d Instruction
I-821D Application for Deferred Action for Childhood Arrivals I821D-013-FRM-FeeRule-OMBReview-NPRM-12212022.pdf www.uscis.gov/i-821d Form
I-821D Application for Deferred Action for Childhood Arrivals I821D-013-FRM-FeeRule-OMBReview-NPRM-12212022.pdf www.uscis.gov/i-821d Form

Information Collection (IC) Details

IC Title:	Application for Deferred Action for Childhood Arrivals (Initial Requests)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-821D	Application for Deferred Action for Childhood Arrivals	I821D-013-FRM-FeeRule-OMBReview-NPRM-12212022.pdf	https://www.uscis.gov/i-821d	Yes	No	Fillable Printable
Instruction			I821D-013-INS-FeeRule-OMBReview-NPRM-12212022.pdf	https://www.uscis.gov/i-821d	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: 32,655	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	32,655	0	32,655
Annual IC Time Burden (Hours)	91,989	-5,976	97,965
Annual IC Cost Burden (Dollars)	3,592,050	0	3,592,050

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.