Information Collection Request

Application for Replacement/Initial Nonimmigrant Arrival-Departure Document

ICR 201610-1615-041 · OMB 1615-0079 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-102 I-102 Electronic Filing Form and Instruction Unchanged Repair queued
Form I-102 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form Modified Repair queued
I-102 Supporting Statement.doc Supporting Statement A Uploaded 2016-10-25 Available
83c I-102.pdf Justification for No Material/Nonsubstantive Change Uploaded 2016-10-24 Available
I102-INS-TOC-ELISI94-30Day-09162014.docx Supplementary Document Uploaded 2014-10-09 Repair queued
USCIS 015 ELIS 2 Account and Case Management SORN.pdf Supplementary Document Uploaded 2014-02-03 Repair queued
privacy_pia_uscis_elis_2_accountmgmt.pdf Supplementary Document Uploaded 2014-02-03 Available
Reference Citation.doc Supplementary Document Uploaded 2013-04-04 Repair queued
SORN - United States Citizenship and Immigration Services Benefits Information System.doc Supplementary Document Uploaded 2012-06-12 Available
PIA - USCIS Benefits Processing of Applicants other than.pdf Supplementary Document Uploaded 2012-06-12 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
210247 I-102 Electronic Filing Form and Instruction Unchanged
20403 Application for Replacement/Initial Nonimmigrant Arrival-Departure Document Form Modified
ICR Details
1615-0079 201610-1615-041
Historical Active 201402-1615-001
DHS/USCIS I-102
Application for Replacement/Initial Nonimmigrant Arrival-Departure Document
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 10/31/2016
Retrieve Notice of Action (NOA) 10/26/2016
USCIS may continue to use the previous version of the instrument until December 23, 2016.
  Inventory as of this Action Requested Previously Approved
10/31/2017 10/31/2017 10/31/2017
6,782 0 6,782
4,611 0 4,611
1,860,981 0 1,860,981

An alien temporarily residing in the United States can use this form to request a replacement of his or her lost, stolen, mutilated arrival-departure document, or he or she may also request a new arrival-departure record, if one was not issued when he or she was last admitted as a nonimmigrant, and has not since been issued such record but is in need of one USCIS uses the information provided by the requester to verify eligibility, as well as his or her status, process the request and issue a new or replacement arrival-departure record.

US Code: 8 USC 1304 Name of Law: U.S. Code
  
None

Not associated with rulemaking

  78 FR 56240 09/12/2013
78 FR 77139 12/20/2013
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 6,782 6,782 0 0 0 0
Annual Time Burden (Hours) 4,611 4,611 0 0 0 0
Annual Cost Burden (Dollars) 1,860,981 1,860,981 0 0 0 0
No
No
There has been an increase in the estimated annual burden hours previously reported. The increase is due to the agency's newest estimate regarding the time burden associated with this collection. USCIS previously reported 2,821.31 burden hours but it is now seeking approval of 3,156.22 burden hours. USCIS has made some revisions to the form and instructions. Additional data collection fields are being incorporated into the form to enable verification of status in the United States based upon passport or travel document information captured by CBP at the port of entry, which also may be used to search TECS and ADIS. This additional information is deemed necessary to ensure timely verification in cases where the individual does not have his or her Form I-94 admission information, particularly as a result of CBP's automation of the Form I-94 process. In addition, the Applicant's and Preparer's sections have been revised, and an Interpreter's section has been added to the form and instructions. USCIS now estimates that it takes an applicant 30 minutes to prepare and submit this request using a paper form. Finally, the ELIS Account Number data collection has been added to the form. The changes being proposed will be made to the most recent edition of the form approved by OMB, dated 2/17/13 N, which was approved by OMB upon USCIS request to approve changes to this collection based on DHS's Interim Final Rule, Definition of Form I-94 to Include Electronic Format, at 78 FR 18457, March 27, 2013. USCIS initially estimates that filing this request electronically will take 25 minutes.

$2,238,959
No
No
No
No
No
Uncollected
Joe Dong 201 272-8168 [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.
10/26/2016