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Federal forms, ICRs, and supporting documents

Information Collection Request

Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status)

ICR 201411-1615-003 · OMB 1615-0004 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Published 60-day notice 2014-8-13.docx Supplementary Document Uploaded 2014-12-22 Repair queued
SORN - CLAIMS.doc Supplementary Document Uploaded 2014-12-17 Available
PIA.pdf Supplementary Document Uploaded 2014-12-17 Available
Reference Citation.doc Supplementary Document Uploaded 2014-12-17 Repair queued
Published 30-day notice 2014-11-19.docx Supplementary Document Uploaded 2014-12-17 Available
Supporting Statement - I-539A.doc Supporting Statement A Uploaded 2014-12-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20227 Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status) Other-Instruction - I-539A Modified
ICR Details
1615-0004 201411-1615-003
Historical Active 201108-1615-004
DHS/USCIS I-539A
Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status)
Extension without change of a currently approved collection   No
Regular
Approved without change 03/11/2015
Retrieve Notice of Action (NOA) 12/23/2014
USCIS should consider transferring this information collection to the request for the I-539 form (1615-0003).
  Inventory as of this Action Requested Previously Approved
03/31/2018 36 Months From Approved 03/31/2015
200 0 200
100 0 100
17,000 0 17,000
This form is needed to accompany the I-539 in order to explain and provide instructions for the V nonimmigrant classification. This form will be used by nonimmigrants to apply for an extension of stay, a change to another nonimmigrant classification, or for obtaining V nonimmigrant classification.
US Code: 8 USC 1184 Name of Law: Immigration and Nationality Act
  
None
Not associated with rulemaking
  79 FR 47471 08/13/2014
79 FR 68902 11/19/2014
No
1
IC Title Form No. Form Name
Supplement A to Form I-539 (Filing Instructions for V Nonimmigrant Status)
  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 200 200 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 17,000 17,000 0 0 0 0
No
No
$8,100
No
No
No
No
No
Uncollected
Evadne Hagigal 202 272-0993 [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.
12/23/2014