Information Collection

Affidvit of Support Under Section 213A of the Act

IC 41275 under ICR 201503-1615-001 · OMB 1615-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Document Name Document Type
I864-INS-OMB REV-05042015.pdf Instruction
i-864p.pdf Instruction
I-864 Affidavit of Support Under Section 213A of the Act I864-FRM-OMB REV-05042015.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidvit of Support Under Section 213A of the Act	Agency IC Tracking Number:	I-864

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			i-864p.pdf	Yes	No	Printable Only
Form	I-864	Affidavit of Support Under Section 213A of the Act	I864-FRM-OMB REV-05042015.pdf	Yes	No	Fillable Printable
Instruction			I864-INS-OMB REV-05042015.pdf	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 439,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	439,500	0	439,500
Annual IC Time Burden (Hours)	2,637,000	0	2,637,000
Annual IC Cost Burden (Dollars)	107,677,500	107,677,500	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.