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Federal forms, ICRs, and supporting documents

Information Collection Request

ABC Change of Address Form and Special Filing Instructions for ABC Class Members

ICR 200303-1615-073 · OMB 1615-0071 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
20385 ABC Change of Address Form and Special Filing Instructions for ABC Class Members Form Migrated
ICR Details
1615-0071 200303-1615-073
Historical Active 200208-1115-006
DHS/USCIS
ABC Change of Address Form and Special Filing Instructions for ABC Class Members
Extension without change of a currently approved collection   No
Regular
Approved without change 03/01/2003
Retrieve Notice of Action (NOA) 03/01/2003
Approved with change-- INS made non-substantive typographical changes to the form and added the OMB expiration date. It should be noted that INS initially requested permission to not display the expiration date. Also, the existing terms of clearance state that form M-426 should no longer be included in this package. Accordingly, the number of respondents and burden hours have been adjusted downwards.
  Inventory as of this Action Requested Previously Approved
10/31/2005 10/31/2005
5,000 0 0
2,500 0 0
0 0 0
The ABC Change of Address Form (Form I-855) is mandated by the American Baptist Churcahse v. Thornbrgh, 760 F. Supp. 796 (N.D. Cal. 1991) This form will be used by class members to inform the INS of address changes. It contains prompts for recording sufficient identifying information to update INS computer data- bases.
None
None
No
1
IC Title Form No. Form Name
ABC Change of Address Form and Special Filing Instructions for ABC Class Members I-855, M-426
  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 2,500 0 0 2,500 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