Application to Adjust Status from Temporary to Permanent Resident

ICR 201812-1615-005

OMB: 1615-0035

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2019-02-26
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
Supplementary Document
2018-12-21
IC Document Collections
ICR Details
1615-0035 201812-1615-005
Historical Active 201701-1615-007
DHS/USCIS I-698
Application to Adjust Status from Temporary to Permanent Resident
Extension without change of a currently approved collection   No
Regular
Approved without change 04/28/2019
Retrieve Notice of Action (NOA) 02/26/2019
Approved for two years only due to partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
04/30/2021 36 Months From Approved 04/30/2019
200 0 124
242 0 151
49,000 0 30,380

This form will be used by the USCIS to collect the necessary information to adjudicate requests for change in temporary resident status and to issue an Alien Registration Card (Form I-551).

US Code: 8 USC 1103 Name of Law: U.S. Code
  
None

Not associated with rulemaking

  83 FR 49939 10/03/2018
83 FR 65709 12/21/2018
No

  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 200 124 0 0 76 0
Annual Time Burden (Hours) 242 151 0 0 91 0
Annual Cost Burden (Dollars) 49,000 30,380 0 0 18,620 0
No
No
There has been an increase of 91 in the burden hours previously reported for this information collection. The increase is based on an increase in the estimated number of respondents since the last submission of this information collection.

$175,500
No
    Yes
    Yes
No
No
No
Uncollected
Evadne Hagigal 202 272-0993 evadne.hagigal@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.
02/26/2019


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