Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0079 can be found here:

Documents and Forms

Document Name Document Type
Form I-102 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form
I102-011-INS-LimitedREV-30Day-02242023-Functionality.pdf www.uscis.gov/i-102 Instruction
I102-011-INS-LimitedREV-30Day-02242023-Functionality.pdf www.uscis.gov/i-102 Instruction
I-102 Application for Replacement/Initial Nonimmigrant Arrival I102-011-FRM-LimitedREV-30Day-02242023-Functionality.pdf www.uscis.gov/i-102 Form
I-102 Application for Replacement/Initial Nonimmigrant Arrival I102-011-FRM-LimitedREV-30Day-02242023-Functionality.pdf www.uscis.gov/i-102 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Replacement/Initial Nonimmigrant Arrival-Departure Document	Agency IC Tracking Number:	I-102

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 264

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-102	Application for Replacement/Initial Nonimmigrant Arrival-Departure Document	I102-011-FRM-LimitedREV-30Day-02242023-Functionality.pdf	www.uscis.gov/i-102	Yes	No	Fillable Printable
Instruction			I102-011-INS-LimitedREV-30Day-02242023-Functionality.pdf	www.uscis.gov/i-102	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: U.S. Citizenship and Immigration Services Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 3,907	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,907	-193	4,100
Annual IC Time Burden (Hours)	2,411	-664	3,075
Annual IC Cost Burden (Dollars)	1,126,779	-55,661	1,182,440

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.