Application for Removal

ICR 200908-1615-006

OMB: 1615-0019

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2009-08-26
Supplementary Document
2009-08-26
Supporting Statement A
2009-08-26
Supplementary Document
2008-05-09
IC Document Collections
IC ID
Document
Title
Status
20272 Modified
ICR Details
1615-0019 200908-1615-006
Historical Active 200805-1615-011
DHS/USCIS
Application for Removal
Extension without change of a currently approved collection   No
Regular
Approved without change 11/17/2009
Retrieve Notice of Action (NOA) 09/14/2009
Approved for only one year due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
11/30/2010 36 Months From Approved 11/30/2009
41 0 41
20 0 20
0 0 0

The information provided on this form allows the USCIS to determine eligibility for the alien's request for removal from the United States.

US Code: 8 USC 1281 Name of Law: United States Code
  
None

Not associated with rulemaking

  74 FR 26415 06/02/2009
74 FR 42083 08/20/2009
No

1
IC Title Form No. Form Name
Application for Removal Form I-243 Application for Removal

  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 41 41 0 0 0 0
Annual Time Burden (Hours) 20 20 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$1,650
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.
09/14/2009


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