OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Advance Permission to Return to Unrelinquished Domicile

ICR 201607-1615-005 · OMB 1615-0016 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
1615-0016 Form I-191 Supporting Statement_30dayFRNv6_DHSpsb_USCISk4AUG2016.docx Supporting Statement A Uploaded 2016-08-04 Repair queued
FRM I191 Rev 30Day FRN 2016-17968_29JUL2016.pdf Supplementary Document Uploaded 2016-08-01 Repair queued
FRM I191 60Day FRN_USCIS-2006-0070-0023_9MAY2016.pdf Supplementary Document Uploaded 2016-07-26 Available
I191-INS-30Day-TOC-09192016.docx Supplementary Document Uploaded 2016-09-19 Available
I191-FRM-30Day-TOC-07122016.docx Supplementary Document Uploaded 2016-07-26 Repair queued
SORN_78FR69864_21NOV2013.pdf Supplementary Document Uploaded 2016-07-26 Repair queued
SORN_73FR56596_29SEP2008.pdf Supplementary Document Uploaded 2016-07-26 Repair queued
PIA-016(a) Computer Linked Application Information Management System (CLAIMS 3) and Associated Systems.pdf Supplementary Document Uploaded 2016-07-26 Available
Reference Citation 2013-2-26.doc Supplementary Document Uploaded 2013-05-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20264 Application for Advance Permission to Return to Unrelinquished Domicile Instruction Modified
ICR Details
1615-0016 201607-1615-005
Historical Active 201305-1615-003
DHS/USCIS I-191
Application for Advance Permission to Return to Unrelinquished Domicile
Revision of a currently approved collection   No
Regular
Approved with change 09/20/2016
Retrieve Notice of Action (NOA) 08/09/2016
Approved for two years only due to partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
09/30/2018 36 Months From Approved 09/30/2016
600 0 300
900 0 300
75,750 0 0
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
  81 FR 28097 05/09/2016
81 FR 50000 07/29/2016
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 600 300 0 0 300 0
Annual Time Burden (Hours) 900 300 0 0 600 0
Annual Cost Burden (Dollars) 75,750 0 0 0 75,750 0
No
No
An increase of 300 respondents previously reported for this information collection -- attributed better estimates based on the three year receipt of the Form I-191. An increase of 600 burden hours previously reported for this information collection -- attributed to an increase in the time burden from 60 minutes (1 hour) to 90 minutes 1.5 hours); USCIS re-evaluated to better account for the time it would take an average respondent to complete IC. An increase of $75,750 annual cost burden -- attributed to accounting for the out-of-pocket cost that respondents may incur for the form’s preparation.
$351,000
No
No
No
No
No
Uncollected
Heather Young 202 272-1673 [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.
08/09/2016