Refugee Biographic Data

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1405-0102 can be found here:

Documents and Forms

Document Name Document Type
Information Collection Intake Screenshots-PRA.docx Other-Script
SORN 2012.pdf State-59 IC Document
Notice on Confidentiality of Personal Information.doc NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Refugee Biographic Data	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 207

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Script			Information Collection Intake Screenshots-PRA.docx		Yes	No	Paper Only

Line of Business: International Affairs and Commerce

Subfunction: Foreign Affairs

Privacy Act System of Records
Title: State-59, Refugee Case Records	FR Citation: 77 FR 5865

Number of Respondents: 50,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	50,000	-20,000	70,000
Annual IC Time Burden (Hours)	25,000	-10,000	35,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
State-59	SORN 2012.pdf	03/22/2018
NOTICE ON CONFIDENTIALITY OF PERSONAL INFORMATION	Notice on Confidentiality of Personal Information.doc	03/22/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.