OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

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

ICR 201712-1615-008 · OMB 1615-0136 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-941 Application for Significant Public Benefit Entrepreneur Form Modified Repair queued
OMB-83C USCIS Form I-941 signed.pdf Justification for No Material/Nonsubstantive Change Uploaded 2017-12-20 Repair queued
I-941 SS 2017 07-11-17(clean).doc Supporting Statement A Uploaded 2017-07-11 Repair queued
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
IC Document Collections
IC IDCollectionTypeStatusForm
223185 Biometric Processing Unchanged
218313 Application for Significant Public Benefit Entrepreneur Form Modified
ICR Details
1615-0136 201712-1615-008
Historical Active 201712-1615-007
DHS/USCIS I-941
Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 12/22/2017
Retrieve Notice of Action (NOA) 12/22/2017
  Inventory as of this Action Requested Previously Approved
01/31/2019 01/31/2019 01/31/2019
5,880 0 5,880
17,258 0 17,258
1,440,600 0 1,440,600
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.
US Code: 8 USC 1182 Name of Law: INA - Inadmissable Aliens
  
None
1625-AC04 Final or interim final rulemaking 82 FR 31887 07/11/2017
  82 FR 31887 07/11/2017
82 FR 31887 07/11/2017
No
  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 5,880 5,880 0 0 0 0
Annual Time Burden (Hours) 17,258 17,258 0 0 0 0
Annual Cost Burden (Dollars) 1,440,600 1,440,600 0 0 0 0
No
No
$3,777,900
No
    Yes
    Yes
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.
12/22/2017