OMB control number

Information Relating to Beneficiary of Private Bill

OMB 1653-0026 · DHS/USICE.

OMB 1653-0026

This form is used by U.S. Immigration and Customs Enforcement (ICE) to obtain information from beneficiaries and/or interested parties in Private Bill cases when requested to report by the Committee on the Judiciary.

The latest form for Information Relating to Beneficiary of Private Bill expires 2027-10-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form G-79A Information Relating to Beneficiary of Private Bill Form and Instruction
2022-20739.pdf Supplementary Document
G79-A Supporting Statement.docx Supporting Statement A
2022-08856.pdf Supplementary Document
PIA ICE EID EARM Update 20110520 Final.pdf Supplementary Document
DHS_USCIS_ICE_CBP-001 Alien File, Index, and National File Tracking SORN.docx Supplementary Document
USCODE-1994-title8-chap11-subchapII_2-partII-sec1182.pdf Supplementary Document
Information Relating to Beneficiary of Private Bill Form and Instruction

All Historical Document Collections

202202-1653-005	Reinstatement without change of a previously approved collection	2022-09-28
201808-1653-003 Approved without change	Extension without change of a currently approved collection	2019-03-27
201512-1653-002 Approved without change	Extension without change of a currently approved collection	2016-01-28
201208-1653-001 Approved with change	Extension without change of a currently approved collection	2012-08-31
201105-1653-001 Approved without change	Extension without change of a currently approved collection	2011-06-23
201004-1653-001 Approved without change	Extension without change of a currently approved collection	2010-04-26
200901-1653-003 Approved without change	Extension without change of a currently approved collection	2009-05-08
200803-1653-001 Approved without change	Extension without change of a currently approved collection	2008-03-20
200701-1653-007 Approved without change	Revision of a currently approved collection	2007-01-29
200507-1653-002 Approved without change	Extension without change of a currently approved collection	2005-07-28
200303-1653-027 Approved without change	Extension without change of a currently approved collection	2003-03-01