Information Collection

Affidavit of Support Under Section 213A of the INA (paper)

IC 204186 under ICR 202610-1615-006 · OMB 1615-0075.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-864EZ Affidavit of Support of Support Under Section 213A of the INA Affidavit of Support Under Section 213A of the INA (paper)	Form
I-864EZ Instructions.pdf www.uscis.gov/i-864ez	Instruction
I-864EZ Affidavit of Support of Support Under Section 213A of th I-864EZ Form.pdf www.uscis.gov/i-864ez	Form

IC Title:

Agency IC Tracking Number:

I-864EZ

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213A (To search for a specific CFR, visit the Code of Federal Regulations.)

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-864EZ			https://www.uscis.gov/i-864ez	Yes	No	Fillable Printable
Instruction				https://www.uscis.gov/i-864ez	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 81 FR 72069

Number of Respondents: 2,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,000	-96,000	-2,000	100,000
Annual IC Time Burden (Hours)	4,500	-216,000	-4,500	225,000
Annual IC Cost Burden (Dollars)	490,000	-23,520,000	-490,000	24,500,000

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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