Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act

Forms and Documents

Document Name	Status
I-694 Supporting Statement.docx Supporting Statement A	2018-04-18
SORN DHS-007.pdf Supplementary Document	2018-03-13
SORN DHS-001.html Supplementary Document	2018-03-13
I694-INS-TOC-Rev-05162018.docx Supplementary Document	2018-05-16
I694-FRM-TOC.docx Supplementary Document	2018-03-01
I-694 30day FRN.pdf Supplementary Document	2018-03-01
Reference Citation 2012 Revision.doc Supplementary Document	2018-03-01
PTA USCIS - Form I-694 20160511 PRIV Final.pdf Supplementary Document	2018-03-01
PIA USCIS-016.pdf Supplementary Document	2018-03-01
I-694 60-day FRN 20171116.pdf Supplementary Document	2018-03-01

IC Document Collections

IC ID	Document Title	Status
20308	Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act Instruction	Modified

ICR Details

OMB Control No: 1615-0034	ICR Reference No: 201802-1615-006
Status: Historical Active	Previous ICR Reference No: 201610-1615-017
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-694
Title: Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act
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: 05/16/2018
	Date Received in OIRA: 03/30/2018
Terms of Clearance: Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved	05/31/2018
Responses	15	0	50
Time Burden (Hours)	23	0	75
Cost Burden (Dollars)	1,894	0	6,313

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Abstract: This form is used in considering appeals of denials of temporary and permanent residence status by legalization applicants and special agricultural workers under sections 210 and 245A of the Immigration and Nationality Act.

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Authorizing Statute(s): US Code: 8 USC 1160 Name of Law: Immigration and Nationality Act
   US Code: 8 USC 1255a Name of Law: Immigration and 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:
	82 FR 53515	11/16/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 7761	02/22/2018
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
Notice of Appeal of Decision Under Section 210 or 245A of the Immigration and Nationality Act	Form I-694	Notice of Appeal of Decision Under Section 210 or 245A

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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	15	50	0	0	-35	0
Annual Time Burden (Hours)	23	75	0	0	-52	0
Annual Cost Burden (Dollars)	1,894	6,313	0	0	-4,419	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: There has been a decrease in the total annual burden hours previously reported for this information collection due to a decrease in the estimated number of respondents.

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Annual Cost to Federal Government: $13,350

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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: 03/30/2018

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