Affadivit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian

ICR 200811-1615-003

OMB: 1615-0021

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2008-11-19
Supplementary Document
2008-11-19
Supplementary Document
2008-11-19
Supporting Statement A
2008-11-19
ICR Details
1615-0021 200811-1615-003
Historical Active 200512-1615-001
DHS/USCIS
Affadivit of Financial Support and Intent to Petition for Legal Custody for Public Law 97-359 Amerasian
Extension without change of a currently approved collection   No
Regular
Approved without change 04/24/2009
Retrieve Notice of Action (NOA) 03/24/2009
Approval granted for three years, despite absence of e-filing option, due to extremely low number of annual respondents.
  Inventory as of this Action Requested Previously Approved
04/30/2012 36 Months From Approved 04/30/2009
50 0 50
25 0 25
0 0 0

This form will be used in support of Form I-360 to assure fiancial support for Pub. L. 97-359 Amerasian. The affidavit is used only to sponsor individuals eligible for immigration under Pub. L. 97-359

None
None

Not associated with rulemaking

  73 FR 51503 09/03/2008
73 FR 67193 11/13/2008
No

  Total Approved 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 50 50 0 0 0 0
Annual Time Burden (Hours) 25 25 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,027
No
No
Uncollected
Uncollected
No
Uncollected
Stephen Tarragon 202-272-8358 stephen.tarragon@dhs.gov

  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.
03/24/2009


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