Information Collection

Petition for Amerasian, Widow(er) or Special Immigrant - All others (PDFi)

IC 283117 under ICR 202610-1615-004 · OMB 1615-0020.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I-360-026-83C-PDFi-ScreenMocks-10082026.pdf	Other-I-360 PDFi Screenmocks

IC Title:

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 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
Other-I-360 PDFi Screenmocks					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: 73 FR 56596

Number of Respondents: 14,075

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	14,075	14,075
Annual IC Time Burden (Hours)	26,982	26,982
Annual IC Cost Burden (Dollars)	1,724,100	1,724,100

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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