Application to Adjust Status from Temporary to Permanent Resident

ICR 200909-1615-004

OMB: 1615-0035

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supplementary Document
2009-09-09
Supplementary Document
2009-09-02
Supplementary Document
2009-09-02
Supplementary Document
2009-09-02
Supporting Statement A
2009-12-29
IC Document Collections
ICR Details
1615-0035 200909-1615-004
Historical Active 200806-1615-007
DHS/USCIS
Application to Adjust Status from Temporary to Permanent Resident
Revision of a currently approved collection   No
Regular
Approved with change 12/29/2009
Retrieve Notice of Action (NOA) 09/10/2009
Approved for only one year due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 12/31/2009
1,179 0 1,179
1,179 0 1,179
1,709,550 0 1,709,550

This form will be used by the USCIS to collect the necessary information to adjudicate requests for change in temporary resident status and to issue an Alien Registration Card (Form I-551).

US Code: 8 USC 1103 Name of Law: U.S. Code
  
None

Not associated with rulemaking

  74 FR 27339 06/09/2009
74 FR 45459 09/02/2009
No

1
IC Title Form No. Form Name
Application to Adjust Status from Temporary to Permanent Resident Form I-698 Application to Adjust Status from Temporary to Permanent Resident

  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 1,179 1,179 0 0 0 0
Annual Time Burden (Hours) 1,179 1,179 0 0 0 0
Annual Cost Burden (Dollars) 1,709,550 1,709,550 0 0 0 0
No
No

$0
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.
09/10/2009


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