OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Advance Permission to Return to Unrelinquished Domicile

ICR 201004-1615-006 · OMB 1615-0016 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form I-191 Application for Advance Permission to Return to Unrelinquished Domicile Form Modified Available
Approved PTA I-191 4-7-10.pdf Supplementary Document Uploaded 2010-04-16 Repair queued
PIA.pdf Supplementary Document Uploaded 2010-04-16 Repair queued
SORN.htm Supplementary Document Uploaded 2010-04-16 Repair queued
Reference Citation.doc Supplementary Document Uploaded 2010-04-16 Available
Published 30 Day Notice 3-15-10.doc Supplementary Document Uploaded 2010-04-16 Repair queued
Published 60-Day Notice 11-24-09.doc Supplementary Document Uploaded 2010-04-16 Repair queued
I-191 Supp Statement 4-16-10.doc Supporting Statement A Uploaded 2010-04-16 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20264 Application for Advance Permission to Return to Unrelinquished Domicile Form Modified
ICR Details
1615-0016 201004-1615-006
Historical Active 200707-1615-018
DHS/USCIS
Application for Advance Permission to Return to Unrelinquished Domicile
Extension without change of a currently approved collection   No
Regular
Approved without change 06/06/2010
Retrieve Notice of Action (NOA) 04/16/2010
  Inventory as of this Action Requested Previously Approved
06/30/2013 36 Months From Approved 06/30/2010
300 0 300
75 0 75
163,500 0 163,500
The information collected on this form is used by U.S. Citizenship and Immigration Services (USCIS) to determine whether the applicant is eligible for a discretionary relief under section 212(c) of the Immigration and Nationality Act (Act).
US Code: 8 USC 1182 Name of Law: US Code
  
None
Not associated with rulemaking
  74 FR 61359 11/24/2009
75 FR 12250 03/15/2010
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 300 300 0 0 0 0
Annual Time Burden (Hours) 75 75 0 0 0 0
Annual Cost Burden (Dollars) 163,500 163,500 0 0 0 0
No
No
$0
No
No
No
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.
04/16/2010