OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Advance Permission to Return to Unrelinquished Domicile

ICR 201305-1615-003 · OMB 1615-0016 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-191 Application for Advance Permission to Return to Unrelinquished Domicile Form Modified Repair queued
1615-0016 Form I-191 Supporting Statement 2013-6-24.docx Supporting Statement A Uploaded 2013-06-25 Repair queued
Reference Citation 2013-2-26.doc Supplementary Document Uploaded 2013-05-22 Available
SORN BIS (9-29-2008).mht Supplementary Document Uploaded 2013-05-22 Source copy available
privacy_pia_cis_claims3.pdf Supplementary Document Uploaded 2013-05-22 Repair queued
30-Day Notice 5-22-2013.pdf Supplementary Document Uploaded 2013-05-22 Repair queued
60-day notice 3-15-2013.pdf Supplementary Document Uploaded 2013-05-22 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20264 Application for Advance Permission to Return to Unrelinquished Domicile Form Modified
ICR Details
1615-0016 201305-1615-003
Historical Active 201102-1615-003
DHS/USCIS I-191
Application for Advance Permission to Return to Unrelinquished Domicile
Extension without change of a currently approved collection   No
Regular
Approved without change 08/15/2013
Retrieve Notice of Action (NOA) 06/25/2013
  Inventory as of this Action Requested Previously Approved
08/31/2016 36 Months From Approved 08/31/2013
300 0 300
300 0 75
0 0 175,500
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.
US Code: 8 USC 1182 Name of Law: US Code
  
None
Not associated with rulemaking
  78 FR 16519 03/15/2013
78 FR 30320 05/22/2013
Yes
  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) 300 75 0 0 225 0
Annual Cost Burden (Dollars) 0 175,500 0 0 -175,500 0
No
No
There has been an increase of 225 burden hours previously reported for this information collection. This change can be attributed to an increase in the time burden from 15 minutes (0.25 hours) to 60 minutes (1 hours). The previous estimated time burden was re-evaluated to better account for the time it would take an average respondent to review the instructions, gather necessary documentation and information, and complete the form and any statements, based on an adjustment in agency estimates. There are no changes to the information being collected.
$175,500
No
No
No
No
No
Uncollected
Bosong Mayer 202 272-8356 [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.
06/25/2013