Information Collection

Refugee Biographic Data

IC 14945 under ICR 202406-1405-002 · OMB 1405-0102.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Information Collection Intake Screenshots-PRA.docx	Instruction
SORN 2012.pdf State-59	IC Document
Notice on Confidentiality of Personal Information.doc NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Removed

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 207

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
Instruction			Information Collection Intake Screenshots-PRA.docx		Yes	No	Paper Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records

Title: State-59, Refugee Case Records

FR Citation: 77 FR 5865

Number of Respondents: 10,124

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	-39,876	29,752	10,124
Annual IC Time Burden (Hours)	5,372	-35,744	30,372
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
State-59	SORN 2012.pdf	03/22/2018
NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION	Notice on Confidentiality of Personal Information.doc	03/22/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.