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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 202012-1615-001 · OMB 1615-0027 · Received in OIRA

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-566-005-Supporting Statement-EXT.docx Supporting Statement A Uploaded 2021-03-29 Missing upstream
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-566-005_30-Day_85 FR 74752_11232020.pdf Supplementary Document Uploaded 2020-12-01 Missing upstream
I-566_60-DayFRN_08262020_85 FR 52618.pdf Supplementary Document Uploaded 2020-12-01 Repair queued
8 CFR 214.2.docx Supplementary Document Uploaded 2015-06-26 Repair queued
INA 101.docx Supplementary Document Uploaded 2015-06-30 Missing upstream
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 202012-1615-001
Received in OIRA 201805-1615-006
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
Extension without change of a currently approved collection   No
Regular 03/30/2021
  Requested Previously Approved
36 Months From Approved 04/30/2021
5,800 5,800
8,236 8,236
710,500 710,500
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
  85 FR 52618 08/26/2020
85 FR 74752 11/23/2020
Yes
  Total Request 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
$244,866
No
    Yes
    Yes
No
No
No
No
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.
03/30/2021