Information Collection

Information Relating to Beneficiary of Private Bill

IC 21013 under ICR 200901-1653-003 · OMB 1653-0026.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0026 can be found here:

Documents and Forms

Document Name Document Type
Form G 79A Information Relating to Beneficiary of Private Bill Form and Instruction
G 79A Information Relating to Beneficiary of Private Bill ICE Form G-79A.pdf www.ice.gov/doclib/pi/forms/g-79_a.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Information Relating to Beneficiary of Private Bill	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G 79A	Information Relating to Beneficiary of Private Bill	ICE Form G-79A.pdf	http://www.ice.gov/doclib/pi/forms/g-79_a.pdf	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.