Information Collection

Agency Alien Witness and Informant Adjustment of Status

IC 212234 under ICR 201905-1615-006 · OMB 1615-0046.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0046 can be found here:

Documents and Forms

Document Name Document Type
Form I-854B Agency Alien Witness and Informant Adjustment of Status Form
I854AB-INS-WIP-EXT+PN-30Day-04242019.pdf Instruction
I-854B Agency Alien Witness and Informant Adjustment of Status I854B-FRM-WIP-EXT+PN-30Day-04242019.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Agency Alien Witness and Informant Adjustment of Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-854B	Agency Alien Witness and Informant Adjustment of Status	I854B-FRM-WIP-EXT+PN-30Day-04242019.pdf		Yes	No	Fillable Printable
Instruction			I854AB-INS-WIP-EXT+PN-30Day-04242019.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS FDNS - DS	FR Citation: 73 FR 48231

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	54	-96	150
Annual IC Time Burden (Hours)	54	-96	150
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.