Information Collection

Documentation of the relationship of parolee/beneficiary's derivative and add-on beneficiaries

IC 257415 under ICR 202306-1615-004 · OMB 1615-0157.

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Documents and Forms

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Document Name	Document Type

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IC Title:

Documentation of the relationship of parolee/beneficiary's derivative and add-on beneficiaries

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 212

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

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

FR Citation: 76 FR 34233

Number of Respondents: 125,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	125,000	75,000	50,000
Annual IC Time Burden (Hours)	31,250	18,750	12,500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.