OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Interagency Record of Individual Requesting Change/Adjustment to or From A or G Status

ICR 200305-1615-005 · OMB 1615-0027 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
20288 Interagency Record of Individual Requesting Change/Adjustment to or From A or G Status Form Migrated
ICR Details
1615-0027 200305-1615-005
Historical Active 200303-1615-029
DHS/USCIS
Interagency Record of Individual Requesting Change/Adjustment to or From A or G Status
Extension without change of a currently approved collection   No
Emergency 06/20/2003
Approved without change 07/11/2003
Retrieve Notice of Action (NOA) 05/29/2003
Request to not display expiration date for OMB approval not approved
  Inventory as of this Action Requested Previously Approved
01/31/2004 01/31/2004 07/31/2003
4,400 0 4,400
1,100 0 1,100
0 0 0
This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, an NATO personnel by the DHS and the Department of State.
None
None
No
1
IC Title Form No. Form Name
Interagency Record of Individual Requesting Change/Adjustment to or From A or G Status I-566
  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 4,400 0 0 0 0
Annual Time Burden (Hours) 1,100 1,100 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/29/2003