Sponsor's Notice of Change of Address

Forms and Documents

Document Name	Status
Form I-865 Sponsor's Notice of Change of Address Form and Instruction	Modified
I-865 Supp Statement 2012-7-6.doc Supporting Statement A	2012-10-18
SORN.mht Supplementary Document	2012-10-10
PIA.pdf Supplementary Document	2012-10-10
Reference Citations.doc Supplementary Document	2012-10-10
Published 30-Day Office - 2012-10-3.docx Supplementary Document	2012-10-10
Published 60-Day Notice - 2012-7-24.docx Supplementary Document	2012-10-10

IC Document Collections

IC ID	Document Title	Status
20397	Sponsor's Notice of Change of Address Form and Instruction	Modified

ICR Details

OMB Control No: 1615-0076	ICR Reference No: 201209-1615-010
Status: Historical Active	Previous ICR Reference No: 201009-1615-016
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-865
Title: Sponsor's Notice of Change of Address
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/03/2013
	Date Received in OIRA: 10/31/2012
Terms of Clearance: Approved for only two years due to partial GPEA compliance. This form can be electronically completed but not submitted.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2013
Responses	100,000	0	100,000
Time Burden (Hours)	25,000	0	25,000
Cost Burden (Dollars)	0	0	0

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Abstract: The Illegal Immigration Reform and Immigrant Responsibility Act of 1996 created a section 213A of the Immigration and Nationality Act (Act). Section 213A requires every sponsor to notify the U.S. Citizenship and Immigration Services (USCIS) and the State, in which the sponsor is currently a resident, of his or her new address within thirty (30) days of any change of address.

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Authorizing Statute(s): US Code: 8 USC 1183a Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 43345	07/24/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 60453	10/03/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Sponsor's Notice of Change of Address	I-865	Sponsor’s Notice of Change of Address

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ICR Summary of Burden

	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	100,000	100,000	0	0	0	0
Annual Time Burden (Hours)	25,000	25,000	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,018,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 10/31/2012

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