Information Collection

Affidvit of Support Under Section 213A of the Act

IC 41275 under ICR 202008-1615-016 · OMB 1615-0075.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0075 can be found here:

Documents and Forms

Document Name Document Type
Form I-864 Affidvit of Support Under Section 213A of the Act Form
I864-INS-PCInjRollback-08072020.pdf www.uscis.gov/i-864 Instruction
I-864P Screenshot.pdf www.uscis.gov/i-864p Other-Poverty Guidelines
I-864 Affidavit of Support Under Section 213A of the INA I864-FRM-PCInjRollback-08072020.pdf www.uscis.gov/i-864 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Affidvit of Support Under Section 213A of the Act	Agency IC Tracking Number:	I-864

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 213a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-864	Affidavit of Support Under Section 213A of the INA	I864-FRM-PCInjRollback-08072020.pdf	https://www.uscis.gov/i-864	Yes	No	Fillable Printable
Instruction			I864-INS-PCInjRollback-08072020.pdf	https://www.uscis.gov/i-864	Yes	No	Printable Only
Other-Poverty Guidelines			I-864P Screenshot.pdf	https://www.uscis.gov/i-864p	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 453,345	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	453,345	453,345
Annual IC Time Burden (Hours)	2,720,070	2,720,070
Annual IC Cost Burden (Dollars)	111,069,525	111,069,525

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.