I-94W Nonimmigrant Visa Waiver Arrival/Departure

Arrival and Departure Record and Electronic System for Travel Authorization (ESTA)

Documents and Forms

Document Name Document Type
Form CBP Form I-94W I-94W Nonimmigrant Visa Waiver Arrival/Departure Form and Instruction
CBP Form I-94W Non Immigrant Visa Waiver Arrival/Departure Record 700120 - CBP Form I-94W ENG (1216) - FINAL (SAMPLE) (3).pdf Form and Instruction

Information Collection (IC) Details

IC Title:	I-94W Nonimmigrant Visa Waiver Arrival/Departure	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 217

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CBP Form I-94W	Non Immigrant Visa Waiver Arrival/Departure Record	700120 - CBP Form I-94W ENG (1216) - FINAL (SAMPLE) (3).pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: NonImmigrant Information System	FR Citation: 80 FR 13398

Number of Respondents: 1,381,644	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,381,644	440,353	941,291
Annual IC Time Burden (Hours)	368,438	117,427	251,011
Annual IC Cost Burden (Dollars)	15,470,723	4,930,773	10,539,950

Documents for IC

Title	Document	Date Uploaded
No associated records found

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