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Federal forms, ICRs, and supporting documents

Information Collection Request

Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status

ICR 200303-1615-072 · OMB 1615-0070 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
20383 Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status Form Migrated
ICR Details
1615-0070 200303-1615-072
Historical Active 200011-1115-005
DHS/USCIS
Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
Approved consistent with memo dated 10.12.00. INS will also note on the form or the instructions that the collection is not mandatory for the collection of benefits.
  Inventory as of this Action Requested Previously Approved
06/30/2004 06/30/2004
195,000 0 0
32,370 0 0
0 0 0
The primary purpose of the information collected on this form is for use in the Office of Refugee Resettlement Report to Congress (8 U.S.C. 1523). The Service is required by 8 U.S.C. 1522 to report on the status of refugees at the time of adjustment to lawful permanent residence. The data is used to support internal planning and policy making.
None
None
No
1
IC Title Form No. Form Name
Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status I-643
  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 195,000 0 0 195,000 0 0
Annual Time Burden (Hours) 32,370 0 0 32,370 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