Application for Temporary Protected Status

Forms and Documents

Document Name	Status
Form I-821 USCIS ELIS Application for Temporary Protected Status (USCIS ELIS) Form and Instruction	Removed
Form I-821 Application for Temporary Protected Status Form	Modified
PAS USCIS- Form I-821, 20161027, Final.pdf Supplementary Document	2016-10-27
PIA-016a CLAIMS 3 and Associated Systems_25MAR2016.pdf Supplementary Document	2016-10-18
FRM I821 Supporting Statement Appendix A Comment Summary OMB-USCIS 22FEB2017.docx Supplementary Document	2017-03-10
I821-INS-TOC-OMB-02232017.docx Supplementary Document	2017-03-10
I821-FRM-TOC-OMB-02232017.docx Supplementary Document	2017-03-10
SORN BIS 73 FR 56596_29SEP2008.pdf Supplementary Document	2016-10-12
SORN A File 78 FR 69864_21NOV2013.pdf Supplementary Document	2016-10-12
FRM I821-001 ICRev001 30daySuppStatementVer2_23FEB2017.docx Supporting Statement A	2017-03-10
I-821 Reference Citations.docx Supplementary Document	2013-10-23
FRM I821_ICRev_60dayFRN_USCIS-2007-0013-0029_23MAY2016.pdf Supplementary Document	2016-10-12
FRM I821 30dayFRN_11OCT2016.pdf Supplementary Document	2016-10-12

IC Document Collections

IC ID	Document Title	Status
208983	Biometrics Processing	Modified
208981	Application for Temporary Protected Status (USCIS ELIS) Form and Instruction	Removed
20326	Application for Temporary Protected Status Form	Modified

ICR Details

OMB Control No: 1615-0043	ICR Reference No: 201610-1615-007
Status: Historical Active	Previous ICR Reference No: 201310-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-821
Title: Application for Temporary Protected Status
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/20/2017
	Date Received in OIRA: 10/31/2016
Terms of Clearance: USCIS may use the previous version of this form (approved in ICR No. 201310-1615-002) until August 21, 2017. Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	03/31/2017
Responses	146,876	0	435,980
Time Burden (Hours)	263,366	0	656,171
Cost Burden (Dollars)	9,318,256	0	0

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Abstract: The information provided will be used by the USCIS to determine whether an applicant for Temporary Protected Status meets eligibility requirements.

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Authorizing Statute(s): US Code: 8 USC 1254 Name of Law: Immigration Nationality Act
  

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:
	81 FR 32341	05/23/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 70130	10/11/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Biometrics Processing
Application for Temporary Protected Status	I-821	Application for Temporary Protected Status
Application for Temporary Protected Status (USCIS ELIS)	I-821 USCIS ELIS, Form I-821 ELIS	Application for Temporary Protected Status ,   Application for Temporary Protected Status (ELIS)

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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	146,876	435,980	0	0	-289,104	0
Annual Time Burden (Hours)	263,366	656,171	0	36,166	-428,971	0
Annual Cost Burden (Dollars)	9,318,256	0	0	0	9,318,256	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: There has been a decrease of 428,971 total burden hours previously reported for this information collection from 656,171 to 227,200. The decrease can be attributed to a decrease in the estimated number of respondents from based on updated statistical projection data for fiscal year (FY) 2015, FY 2016, and FY 2017 The adjustment in public cost burden for the paper-based Form I-821 is based on a more accurate estimates for out-of-pocket expenses incurred by respondents, including postage and document preparation services for 25% of affected respondents. USCIS continues to exclude USCIS fees from public cost estimates because USCIS fees are more properly classified as transfers.

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Annual Cost to Federal Government: $13,228,933

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: 10/31/2016

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