Information Collection

Petition for Qualifying Family Member of U-1 Recipient

IC 203047 under ICR 202508-1615-039 · OMB 1615-0104.

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Information Collection (IC) Details

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IC Title:	Petition for Qualifying Family Member of U-1 Recipient	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 204 8 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 19,900	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	19,900	19,900
Annual IC Time Burden (Hours)	24,875	24,875
Annual IC Cost Burden (Dollars)	635,805	635,805

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

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