Approved for two
years only due to lack of GPEA compliance.
Inventory as of this Action
Requested
Previously Approved
02/28/2021
36 Months From Approved
02/28/2019
2,500
0
18,460
3,750
0
27,690
10,625
0
69,225
U.S. Citizenship and Immigration
Services (USCIS) uses this form to determine whether an applicant
for a visa, adjustment of status, or entry to the United States may
possibly be excludable on the ground that he or she is likely to
become a public charge.
US Code:
8 USC
1184 Name of Law: United States Code
The estimated hour burden for
this information collection has decreased a result of a decrease in
the estimated number of respondents. There are no changes to the
form or instructions. The estimated cost burden for this
information collection has decreased as a result of a decrease in
the estimated number of respondents that more than offset an
increase in the estimated costs. There are no changes to the form
or instructions.
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.