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Federal forms, ICRs, and supporting documents

Information Collection Request

Liberian Deferred Enforced Departure (DED) Supplement to Form I-765

ICR 200303-1615-043 · OMB 1615-0041 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
20322 Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 Form Migrated
ICR Details
1615-0041 200303-1615-043
Historical Active 200005-1115-007
DHS/USCIS
Liberian Deferred Enforced Departure (DED) Supplement to Form I-765
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
Approved. Upon reprinting the form, INS will change the estimation of the burden to 1 hour and 45 minutes instead of one hour, by increasing the travel and waiting time from 15 to 60 minutes. INS will also add clarification to the instruction form to explain that the filing fee is waived for the I-765 form when filed jointly with this form upon reprinting the form.
  Inventory as of this Action Requested Previously Approved
06/30/2003 06/30/2003
15,000 0 0
26,250 0 0
0 0 0
The data collected on this form is used by the INS to determine eligibility for the requested benefit, pursuant to requirements of the Presidential Order dated September 27, 1999. The data will enable adjudication officers to adjudicate the underlying benefit without the need of requiring individual interviews in local INS offices on the majority of applications.
None
None
No
1
IC Title Form No. Form Name
Liberian Deferred Enforced Departure (DED) Supplement to Form I-765 I-765D
  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 15,000 0 0 15,000 0 0
Annual Time Burden (Hours) 26,250 0 0 26,250 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.
03/01/2003