OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Sworn Statement of Refugee Applying for Admission to the United States

ICR 201002-1615-001 · OMB 1615-0097 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form G-646 Sworn Statement of Refugee Applying for Admission to the United States Form and Instruction Modified Available
PTA, USCIS-ICR G-646, 20100225, priv final.pdf Supplementary Document Uploaded 2010-03-01 Available
PIA.pdf Supplementary Document Uploaded 2010-03-01 Repair queued
SORN.htm Supplementary Document Uploaded 2010-03-01 Repair queued
G-646 Reference Citation.doc Supplementary Document Uploaded 2010-03-01 Repair queued
Published 30-Day Notice 2-1-10.htm Supplementary Document Uploaded 2010-03-01 Repair queued
Published 60-Day Notice 11-10-09.doc Supplementary Document Uploaded 2010-03-01 Repair queued
G-646 Supporting Statement 3-110.doc Supporting Statement A Uploaded 2010-03-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20432 Sworn Statement of Refugee Applying for Admission to the United States Form and Instruction Modified
ICR Details
1615-0097 201002-1615-001
Historical Active 200901-1615-001
DHS/USCIS
Sworn Statement of Refugee Applying for Admission to the United States
Extension without change of a currently approved collection   No
Regular
Approved without change 05/10/2010
Retrieve Notice of Action (NOA) 03/05/2010
Approved for one year only due to lack of GPEA complaince. OMB encourages USCIS to make available an electronically fillable version of the Form G-646 and to develop a means of accepting electronic submission, where appropriate. USCIS may be eligible for a full three year extension once this form has been made available publicly in a fillable format.
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved 05/31/2010
75,000 0 75,000
24,975 0 24,975
0 0 0
This form provides the grounds for admissibility to the United States as they apply to refugees. The information collected allows DHS to make admissibility determinations for refugees.
US Code: 8 USC 1157 Name of Law: United States Code
  
None
Not associated with rulemaking
  74 FR 58037 11/10/2009
75 FR 5097 02/01/2010
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 75,000 75,000 0 0 0 0
Annual Time Burden (Hours) 24,975 24,975 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,513,500
No
No
Uncollected
Uncollected
No
Uncollected
Stephen Tarragon 202-272-8358 [email protected]
  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.
03/05/2010