Application for Temporary Protected Status (paper filed)

Application for Temporary Protected Status

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form I-821 Application for Temporary Protected Status (paper filed) Form
Form I-821 Application for Temporary Protected Status (paper filed) Form
I821-012-INS-FeeRule-OMBReview-NPRM-07112022.pdf Instruction
I821-012-INS-FeeRule-OMBReview-NPRM-07112022.pdf Instruction
I-821 Application for Temporary Protected Status I821-012-FRM-FeeRule-OMBReview-NPRM-08092022.pdf Form
I-821 Application for Temporary Protected Status I821-012-FRM-FeeRule-OMBReview-NPRM-08092022.pdf Form

Information Collection (IC) Details

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:

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	I821-012-FRM-FeeRule-OMBReview-NPRM-08092022.pdf		Yes	Yes	Fillable Fileable
Instruction			I821-012-INS-FeeRule-OMBReview-NPRM-07112022.pdf		Yes	No	Printable Only

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 %

	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	453,600	0	0	453,600
Annual IC Time Burden (Hours)	1,010,167	-83,009	0	1,093,176
Annual IC Cost Burden (Dollars)	55,566,000	0	5,660,393	49,905,607

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.