OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

ICR 201006-1615-010 · OMB 1615-0079 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Form I-102 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form Modified Repair queued
SORN.htm Supplementary Document Uploaded 2010-06-25 Repair queued
PIA.pdf Supplementary Document Uploaded 2010-06-25 Repair queued
Approved PTA Form I-10 5-7-10.pdf Supplementary Document Uploaded 2010-06-25 Repair queued
Reference Citation.doc Supplementary Document Uploaded 2010-06-25 Repair queued
Published 30-Day Notice 6-23-10.doc Supplementary Document Uploaded 2010-06-25 Repair queued
Published 60-Day Notice 3-23-10.doc Supplementary Document Uploaded 2010-06-25 Repair queued
I-102 Support Statement 6-25-10.doc Supporting Statement A Uploaded 2010-06-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20403 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form Modified
ICR Details
1615-0079 201006-1615-010
Historical Active 200911-1615-002
DHS/USCIS
Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
Extension without change of a currently approved collection   No
Regular
Approved without change 08/10/2010
Retrieve Notice of Action (NOA) 06/28/2010
Approved for only two years due to partial GPEA compliance. This form can be filled but not submitted electronically.
  Inventory as of this Action Requested Previously Approved
08/31/2012 36 Months From Approved 09/30/2010
12,195 0 12,195
5,073 0 5,073
3,902,400 0 3,902,400
This form is used by an alien temporarily residing in the United States to request a replacement of his or her arrival evidence. The information provided can be used to verify status and for determination as to the eligibility of the applicant for said replacement.
US Code: 8 USC 1304 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  75 FR 13771 03/23/2010
75 FR 35823 06/23/2010
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 12,195 12,195 0 0 0 0
Annual Time Burden (Hours) 5,073 5,073 0 0 0 0
Annual Cost Burden (Dollars) 3,902,400 3,902,400 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.
06/28/2010