Petition for Amerasian, Widow or Special Immigrant

OMB Control No: 1615-0020	ICR Reference No: 201301-1615-009
Status: Historical Active	Previous ICR Reference No: 201011-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-360
Title: Petition for Amerasian, Widow or Special Immigrant
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/05/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/29/2013
Terms of Clearance: Approved for only two years due to lack of GPEA compliance. This form can be completed but not submitted electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2015	36 Months From Approved	03/31/2013
Responses	18,767	0	19,169
Time Burden (Hours)	46,542	0	46,013
Cost Burden (Dollars)	0	0	6,207,810

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Abstract: The Form I-360 may be used by several prospective classes of aliens who intend to establish their eligibility to immigrate to the United States. The information collected on this form is reviewed by the U.S. Citizenship and Immigration Services (USCIS) to determine if the petitioner may be qualified to obtain the benefit.

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Authorizing Statute(s): US Code: 8 USC 1154 Name of Law: United States Code

Citations for New Statutory Requirements: US Code: 8 USC 1101 Name of Law: Immigration and Nationality Act

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 65704	10/30/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 4857	01/23/2013
Did the Agency receive public comments on this ICR? Yes

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

IC Title Form No. Form Name Petition for Amerasian, Widow or Special Immigrant I-360 Petition for Amerasian, Widow(er), or Special Immigrant

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ICR Summary of Burden

	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	18,767	19,169	0	0	-402	0
Annual Time Burden (Hours)	46,542	46,013	0	529	0	0
Annual Cost Burden (Dollars)	0	6,207,810	0	0	-6,207,810	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There is an increase of 829 to the total estimated annual burden hours previously reported for this information collection. This increase can be attributed to the increase in the time burden to complete this form by 5 minutes. This increase in time burden is offset by the reduction in the number of respondents from 19,169 to 18,767 based on an adjustment in agency estimates.

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Annual Cost to Federal Government: $7,600,635

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]? No

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: Bosong Mayer 202 272-8356 [email protected]

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Common Form ICR:  No

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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:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(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;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
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.
Certification Date: 01/29/2013

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