OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization

ICR 200002-1115-007 · OMB 1115-0090 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
11991 Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization Form Migrated
ICR Details
1115-0090 200002-1115-007
Historical Active 199610-1115-002
DOJ/INS
Inter-Agency Record of Individual Requesting Change/Adjustment to or form A or g Status; or Requesting A, G. or NATO Dependent Employment Authorization
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 05/01/2000
Retrieve Notice of Action (NOA) 02/24/2000
Approved consistent with clarifications in INS memo of 4-27-00.
  Inventory as of this Action Requested Previously Approved
05/31/2003 05/31/2003
4,400 0 0
1,100 0 0
0 0 0
This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NAtO personnel by the INS and Department of State.
None
None
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,400 0 0 4,400 0 0
Annual Time Burden (Hours) 1,100 0 0 1,100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/24/2000