Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

ICR 201509-1615-006 · OMB 1615-0136 · Historical Inactive

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1615-0136 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form I-941 Application for Significant Public Benefit Entrepreneur	Form	New	Repair queued
1615-NEW_Supporting Statement I-941 2016-8-25.doc	Supporting Statement A	Uploaded 2016-08-25	Available
citations.docx	Supplementary Document	Uploaded 2016-08-25	Available
PIA 016.pdf	Supplementary Document	Uploaded 2016-08-25	Available
DHS USCIS SORN 007.docx	Supplementary Document	Uploaded 2016-08-05	Repair queued
DHS USCIS SORN 001.docx	Supplementary Document	Uploaded 2016-08-05	Repair queued
rule placeholder.docx	Supplementary Document	Uploaded 2016-07-29	Repair queued

IC Document Collections

IC ID	Collection	Type	Status	Form
223185	Biometric Processing		New
218313	Application for Significant Public Benefit Entrepreneur	Form	New

ICR Details

OMB Control No: 1615-0136	ICR Reference No: 201509-1615-006
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-941
Title: Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 10/17/2016
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/26/2016
Terms of Clearance: DHS will request approval of this information collection after considering and responding to public comments on the International Entrepreneur Rule.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

Abstract: USCIS is submitting this request because DHS is proposing to require an alien seeking entrepreneur parole under its proposed rule, "Significant Public Benefit Parole for Entrepreneurs," to file Form I-941 and, when applicable, Form I-941A, to demonstrate that he or she meets the eligibility criteria for entrepreneur parole based on significant public benefit. Based on his or her grant of parole, the alien's dependent spouse and children will also be eligible to request this parole.

Authorizing Statute(s): US Code: 8 USC 1182 Name of Law: INA - Inadmissable Aliens

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC04	Proposed rulemaking	81 FR 60129	08/31/2016

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Significant Public Benefit Entrepreneur	I-941	Application for Significant Public Benefit Entrepreneur
Biometric Processing

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new collection of information.

Annual Cost to Federal Government: $3,777,900

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: John Ramsay 202 646-4247 [email protected]

Common Form ICR: No