Non-Immigrant Checkout Letter

Forms and Documents

Document Name	Status
Form G-146 Non-Immigrant Checkout Letter Form and Instruction	Modified
2017-06698.pdf Supplementary Document	2017-05-10
1653-0020 Privacy Act Statement.docx Supplementary Document	2017-03-31
Form G-146 PTA.docx Supplementary Document	2017-03-31
1653-0020 FY17 Supporting_Statement_A.docx Supporting Statement A	2017-03-31
2017-02346.pdf Supplementary Document	2017-02-03
Alien File, Index, and NFTS SORN.pdf Supplementary Document	2011-07-27
8 U.S.C. 1229(c).doc Supplementary Document	2009-08-19

IC Document Collections

IC ID	Document Title	Status
20999	Non-Immigrant Checkout Letter Form and Instruction	Modified

ICR Details

OMB Control No: 1653-0020	ICR Reference No: 201612-1653-002
Status: Historical Active	Previous ICR Reference No: 201501-1653-005
Agency/Subagency: DHS/USICE	Agency Tracking No: G-146
Title: Non-Immigrant Checkout Letter
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: 05/16/2017
	Date Received in OIRA: 03/31/2017
Terms of Clearance: Approved for only two years due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2019	36 Months From Approved	05/31/2017
Responses	20,000	0	20,000
Time Burden (Hours)	3,320	0	3,320
Cost Burden (Dollars)	0	0	0

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Abstract: This collection of information is used in making inquiries of persons in the United States or abroad concerning the whereabouts of aliens, and requests departure information required by the ICE, when initial investigation to locate the alien or verify his or her departure is unsuccessful.

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Authorizing Statute(s): US Code: 8 USC 1229 Name of Law: Voluntary Departure
  

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:
	82 FR 9216	02/03/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 16620	04/05/2017
Did the Agency receive public comments on this ICR? No

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

IC Title	Form No.	Form Name
Non-Immigrant Checkout Letter	G-146	Non-Immigrant Checkout Letter

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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	20,000	20,000	0	0	0	0
Annual Time Burden (Hours)	3,320	3,320	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: $403,600

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: 03/31/2017

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