Obligor Change of Address

ICR 201702-1653-002

OMB: 1653-0042

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supporting Statement A
2017-09-19
Supplementary Document
2017-09-18
Supplementary Document
2017-09-18
Supplementary Document
2017-09-18
Supplementary Document
2017-07-31
Supplementary Document
2011-07-27
Supplementary Document
2008-12-29
Supplementary Document
2008-12-29
IC Document Collections
IC ID
Document
Title
Status
187763 Modified
ICR Details
1653-0042 201702-1653-002
Historical Active 201502-1653-001
DHS/USICE I-333
Obligor Change of Address
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 10/27/2017
Retrieve Notice of Action (NOA) 09/29/2017
Approved for two years due to lack of GPEA compliance.
  Inventory as of this Action Requested Previously Approved
10/31/2019 36 Months From Approved
12,000 0 0
3,000 0 0
0 0 0

This form is submitted by bond obligors who need to inform ICE of a new mailing address. ICE needs to maintain current obligor address information so that it can communicate with the obligor and make payments of interest and principal owed to the obligor.

US Code: 8 USC 1226(a) Name of Law: Apprehension and Detention of Aliens
   US Code: 8 USC 1229(c)(b)(3) Name of Law: Voluntary Departure
  
None

Not associated with rulemaking

  82 FR 24377 05/26/2017
82 FR 35788 08/01/2017
No

1
IC Title Form No. Form Name
Obligor Change of Address I-333 Obligor Change of Address

  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 12,000 0 0 0 0 12,000
Annual Time Burden (Hours) 3,000 0 0 0 0 3,000
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$46,640
No
    Yes
    Yes
No
No
No
Uncollected
Scott Elmore 202 732-2601 scott.a.elmore@ice.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.
09/29/2017


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