OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 200705-1615-009 · OMB 1615-0070 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-643 Health amd Human Services Statistical Data for Refugee/Asylee Adjusting Status Form and Instruction Modified Available
I-643 30 Day Notice Published (5-29-07).doc Supplementary Document Uploaded 2007-06-06 Repair queued
INA 413.doc Supplementary Document Uploaded 2007-05-31 Repair queued
Public Law 97-359.pdf Supplementary Document Uploaded 2007-05-31 Available
Section 202 of Pub. Law 99-603.doc Supplementary Document Uploaded 2007-05-31 Available
60 Day published 3-19-07.doc Supplementary Document Uploaded 2007-05-31 Repair queued
I-643 Support State. 5-22-07.doc Supporting Statement A Uploaded 2007-05-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20384 Health amd Human Services Statistical Data for Refugee/Asylee Adjusting Status Form and Instruction Modified
ICR Details
1615-0070 200705-1615-009
Historical Active 200312-1615-002
DHS/USCIS
Health and Human Services Statistical Data for Refugee/Asylee Adjusting Status
Revision of a currently approved collection   No
Regular
Approved without change 08/15/2007
Retrieve Notice of Action (NOA) 06/06/2007
Approved for only one year due to GPEA non-compliance.
  Inventory as of this Action Requested Previously Approved
08/31/2008 36 Months From Approved 08/31/2007
195,000 0 195,000
178,620 0 32,370
0 0 0
Certain refugees and asylees, must use this form when applying for adjustment of status with USCIS. USCIS will submit the data collected on this form to HHS. HHS will include this information when submitting it's annual report to Congress under section 413(a) of the Immigration and Nationality Act.
US Code: 8 USC 1522 Name of Law: Immigration and Nationality Act
  
None
Not associated with rulemaking
  72 FR 12809 03/19/2007
72 FR 29529 05/29/2007
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 195,000 195,000 0 0 0 0
Annual Time Burden (Hours) 178,620 32,370 0 0 146,250 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
There has been an increase of 146,250 burden hours. When this information was previously submitted to OMB, USCIS recorded the time of 10 minutes to complete this form. Upon further review, USCIS estimates that the time to complete and submit the form is closer to 55 minutes.
$3,935,100
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Richard Lee 202 272-8519
  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.
06/06/2007