Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

ICR 201008-1615-037 · OMB 1615-0027 · Historical Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1615-0027 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form Form I-566 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	Form	Modified	Repair queued
I-566 form TOC 8-25-10.doc	Supplementary Document	Uploaded 2010-08-25	Repair queued
OMB 83-C.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2010-08-25	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
20289	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	Form	Modified

ICR Details

OMB Control No: 1615-0027	ICR Reference No: 201008-1615-037
Status: Historical Active	Previous ICR Reference No: 200811-1615-004
Agency/Subagency: DHS/USCIS	Agency Tracking No:
Title: Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/29/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/02/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2011	03/31/2011	03/31/2011
Responses	5,800	0	5,800
Time Burden (Hours)	1,450	0	1,450
Cost Burden (Dollars)	0	0	0

Abstract: This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NATO personnel by the DHS, DOS, DOD, and NATO/HQ SACT.

Authorizing Statute(s): US Code: 8 USC 1101 Name of Law: Immigration and Nationality Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 47961	08/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 67191	11/13/2008
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	Form I-566	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	5,800	5,800
Annual Time Burden (Hours)	1,450	1,450
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $237,200

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Stephen Tarragon 202-272-8358 [email protected]

Common Form ICR: No