View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 1115-0044	ICR Reference No: 198603-1115-002
Status: Historical Active	Previous ICR Reference No: 198512-1115-008
Agency/Subagency: DOJ/INS	Agency Tracking No:
Title: DATA RELATING TO BENEFICIARY OF PRIVATE BILL
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/12/1986
	Date Received in OIRA: 03/06/1986
Terms of Clearance: Agency will evaluate form for Privacy Act implications. Forms which are filled out by "individuals" within the meaning of the Act (e.g., U.S. citizens or lawfully admitted resident aliens), and from which information is filed and retrieved by an individual identifier (e.g., name or naturalization number), should be filed in a system of records The form should contain a notice pursuant to section (e)(3) of the Privacy Act. Until redesign, agency may provide the notice on a separate sheet.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/1989	03/31/1989
Responses	100	0	0
Time Burden (Hours)	100	0	0
Cost Burden (Dollars)	0	0	0

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