Information Collection

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

IC 41275 under ICR 202610-1615-006 · OMB 1615-0075.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-864 Affidavit of Support Under Section 213A of the INA Affidavit of Support Under Section 213A of the INA (paper)	Form
I-864 Instructions.pdf	Instruction
I-864 Affidavit of Support Under Section 213A of the INA I-864 Form.pdf	Form

IC Title:

Agency IC Tracking Number:

I-864

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-864				Yes	No	Fillable Printable
Instruction					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: 9,067

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	9,067	-444,278	453,345
Annual IC Time Burden (Hours)	52,679	-2,581,255	2,633,934
Annual IC Cost Burden (Dollars)	2,221,415	-108,848,110	111,069,525

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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