Information Collection

Supplemental Information for Spouse Beneficiary

IC 219386 under ICR 202401-1615-027 · OMB 1615-0012.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0012 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-130A Supplemental Information for Spouse Beneficiary	Form
Form I-130A Supplemental Information for Spouse Beneficiary Supplemental Information for Spouse Beneficiary	Form
I-130A Supplemental Information for Spouse Beneficiary I130A-015-FRM-FeeRule-OPSReview-FR-10122023.pdf	Form
I-130A Supplemental Information for Spouse Beneficiary I130A-015-FRM-FeeRule-OPSReview-FR-10122023.pdf	Form

IC Title:

Supplemental Information for Spouse Beneficiary

Agency IC Tracking Number:

I-130A

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 204

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
Form	I-130A				Yes	No	Fillable Printable

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: 40,775

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	40,775	40,775
Annual IC Time Burden (Hours)	33,966	33,966
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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