OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status

ICR 201805-1615-006 · OMB 1615-0027 · Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-566 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization Form Modified Repair queued
I-566-SS-WIP-DHS PRA Review-20180504.docx Supporting Statement A Uploaded 2018-05-24 Repair queued
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document Uploaded 2018-05-04 Repair queued
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document Uploaded 2018-05-04 Repair queued
privacy-pia-003b-uscis-iddmp-feb28,2017.pdf Supplementary Document Uploaded 2018-05-04 Repair queued
I-566 30-day FRN 20180504.pdf Supplementary Document Uploaded 2018-05-04 Repair queued
I-566 60-day FRN.pdf Supplementary Document Uploaded 2018-05-04 Repair queued
I566-INS-TOC-LimRev-OMBReview-05242018.docx Supplementary Document Uploaded 2018-05-29 Available
I566-FRM-TOC-LimRev-OMBReview-05242018.docx Supplementary Document Uploaded 2018-05-29 Repair queued
8 CFR 214.2.docx Supplementary Document Uploaded 2015-06-26 Available
INA 101.docx Supplementary Document Uploaded 2015-06-30 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20289 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization Form Modified
ICR Details
1615-0027 201805-1615-006
Active 201612-1615-002
DHS/USCIS I-566
Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status
Revision of a currently approved collection   No
Regular
Approved without change 04/09/2019
Retrieve Notice of Action (NOA) 05/31/2018
Previous terms of clearance continue to apply. Approved for 2 years only.
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved 04/30/2019
5,800 0 5,800
8,236 0 8,236
710,500 0 710,500
This form facilitates processing of applications for benefits filed by dependents of diplomats, international organizations, and NATO personnel by the DHS, DOS, DOD, and NATO/HQ SACT.
US Code: 8 USC 1101 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  83 FR 5642 02/08/2018
83 FR 19794 05/04/2018
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 5,800 5,800 0 0 0 0
Annual Time Burden (Hours) 8,236 8,236 0 0 0 0
Annual Cost Burden (Dollars) 710,500 710,500 0 0 0 0
No
No
$233,266
No
    Yes
    Yes
No
No
No
Uncollected
Kerstin Jager 214 489-8022 [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.
05/31/2018