OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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 201011-1615-004 · OMB 1615-0027 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
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 Reference Cite.doc Supplementary Document Uploaded 2010-11-16 Repair queued
SORN.mht Supplementary Document Uploaded 2010-11-16 Repair queued
PIA.pdf Supplementary Document Uploaded 2010-11-16 Available
Approved PTA Form I-566.pdf Supplementary Document Uploaded 2010-11-16 Repair queued
30-Day Notice Published 11-16-10.doc Supplementary Document Uploaded 2010-11-16 Repair queued
Published 60-Day Notice 8-26-10.doc Supplementary Document Uploaded 2010-11-16 Repair queued
I-566 Supporting Statement 11-16-10.doc Supporting Statement A Uploaded 2010-11-16 Available
IC Document Collections
IC IDCollectionTypeStatusForm
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
1615-0027 201011-1615-004
Historical Active 201008-1615-037
DHS/USCIS
Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization
Extension without change of a currently approved collection   No
Regular
Approved without change 01/18/2011
Retrieve Notice of Action (NOA) 11/19/2010
Approved for only one year due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
01/31/2012 36 Months From Approved 03/31/2011
5,800 0 5,800
1,450 0 1,450
0 0 0
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.
US Code: 8 USC 1101 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  75 FR 52538 08/26/2010
75 FR 70017 11/16/2010
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 5,800 5,800 0 0 0 0
Annual Time Burden (Hours) 1,450 1,450 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$237,200
No
No
No
No
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.
11/19/2010