Information Collection

Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security

IC 189511 under ICR 200904-1653-003 · OMB 1653-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0045 can be found here:

Documents and Forms

Document Name Document Type
Form I-395 Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security Form and Instruction
I-395 Affidavit in Lieu of Lost Receipt of United States ICE f ICE Form I-395.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-395	Affidavit in Lieu of Lost Receipt of United States ICE for Collateral Accepted As Security	ICE Form I-395.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: 12,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	12,500	12,500
Annual IC Time Burden (Hours)	6,250	6,250
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.