View Information Collection Request (ICR) Package

OMB Control No: 1405-0203	ICR Reference No: 201201-1405-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: STATE/AFA	Agency Tracking No:
Title: Special Immigrant Visa Biodata Form
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 02/29/2012
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/27/2012
	Date Received in OIRA: 01/03/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	6 Months From Approved
Responses	12,000	0	0
Time Burden (Hours)	4,000	0	0
Cost Burden (Dollars)	0	0	0

Abstract: Special immigrant visa applicants who qualify for and request resettlement assistance from the Department of State must complete this form for each family member and submit it via email as a scanned attachment to the National Visa Center at NVCSIV@state.gov .

Emergency Justfication: The Bureau of Population, Refugees and Migration, which administers the provision of refugee resettlement benefits to SIV recipients who elect them, provides a loan for travel to the United States and funds basic living assistance and support for up to 90 days after the SIV recipient arrives in the United States. A PRM-funded resettlement agency uses the information collected in this form to select the resettlement site best suited to the SIV recipient given any U.S.-based family or other ties, and to make appropriate preparations for their arrival, including arranging medical services that may be necessary. The delay in the preparation of this package for OMB occurred as a result of discussions on ways to refine this form in order to collect better information for use by the resettlement agencies in the provision of services, and the removal of language which incorrectly indicated that SIV holders may be denied a visa if this form was not submitted. Applicants will still be able to apply for and receive an SIV without this form. However, receipt of resettlement benefits to which they are entitled by law could be jeopardized. Without this form, the Bureau of Population, Refugees and Migration would not have a mechanism by which to gather detailed information from Iraqi and Afghan SIV recipients that is used to place them in appropriate resettlement locations and to provide the necessary housing, medical, and other benefits that applicants may require. As these visa holders are all former employees of the U.S. government or U.S. government contractors in Iraq and Afghanistan, the United States has a special interest in ensuring that these individuals receive the full range of benefits available to them.

Authorizing Statute(s): PL: Pub.L. 110 - 181 1244(g) Name of Law: The Refugee Crisis in Iraq Act
   PL: Pub.L. 111 - 8 602 Name of Law: The Omnibus Appropriations Act
   PL: Pub.L. 109 - 163 1059 Name of Law: National Defense Authorization Act
   PL: Pub.L. 110 - 161 525 Name of Law: Consolidated Appropriations Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 249	12/28/2011
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Special Immigrant Visa Biodata Form	DS-234

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	12,000	12,000
Annual Time Burden (Hours)	4,000	4,000
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden change indicated is due to this submission as a new collection.

Annual Cost to Federal Government: $94,880

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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

Agency Contact: Sumitra Siram 202 453-9250

View ICR - OIRA Conclusion