OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Sworn Statement of Refugee Applying for Admission to the United States

ICR 201411-1615-007 · OMB 1615-0097 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form G-646 Sworn Statement of Refugee Applying for Admission to the United States Form and Instruction Modified Repair queued
Supporting Statement A 161500097 G-646 2014-11-1.doc Supporting Statement A Uploaded 2014-11-26 Available
PIA G-646.pdf Supplementary Document Uploaded 2014-11-26 Available
SORN G-646.docx Supplementary Document Uploaded 2014-11-26 Available
30-day FRN pub 2014-10 G-646.pdf Supplementary Document Uploaded 2014-11-24 Available
60-day FRN pub 2014-3-27 1615-0097 G-646.pdf Supplementary Document Uploaded 2014-11-24 Available
G-646 Reference Citation.doc Supplementary Document Uploaded 2014-11-26 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20432 Sworn Statement of Refugee Applying for Admission to the United States Form and Instruction Modified
ICR Details
1615-0097 201411-1615-007
Historical Active 201206-1615-001
DHS/USCIS G-646
Sworn Statement of Refugee Applying for Admission to the United States
Extension without change of a currently approved collection   No
Regular
Approved without change 12/24/2014
Retrieve Notice of Action (NOA) 11/26/2014
This collection is approved for two years only due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
12/31/2016 36 Months From Approved 12/31/2014
75,000 0 75,000
24,975 0 24,975
0 0 0
This form provides the grounds for admissibility to the United States as they apply to refugees. The information collected allows DHS to make admissibility determinations for refugees.
US Code: 8 USC 1157 Name of Law: United States Code
  
None
Not associated with rulemaking
  79 FR 17171 03/27/2014
79 FR 60489 10/07/2014
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 75,000 75,000 0 0 0 0
Annual Time Burden (Hours) 24,975 24,975 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$1,513,500
No
No
No
No
No
Uncollected
John Ramsay 202 646-4247 [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.
11/26/2014