Information Collection

Non-form request for fee waiver (PDFi)

IC 272682 under ICR 202411-1615-004 · OMB 1615-0116.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0116 can be found here:

Documents and Forms

Document Name Document Type
I-912-021-83C_PDFIntakeCopyDeck_11262024.pdf Other-PDFi
I-912-021-83C_PDFIntakeCopyDeck_11262024.pdf Other-PDFi

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Non-form request for fee waiver (PDFi)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.d

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-PDFi			I-912-021-83C_PDFIntakeCopyDeck_11262024.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits information System	FR Citation: 82 FR 72069

Number of Respondents: 930	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	930	930
Annual IC Time Burden (Hours)	930	930
Annual IC Cost Burden (Dollars)	0	0

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.