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: 1615-0142	ICR Reference No: 201907-1615-009
Status: Historical Active	Previous ICR Reference No: 201809-1615-011
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-944
Title: Declaration of Self-Sufficiency
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/03/2019
	Date Received in OIRA: 08/15/2019
Terms of Clearance: This form is only approved for two years due to non-compliance with the Government Paperwork Elimination Act. In the interim years between approvals, USCIS will work on allowing for electronic signatures and submission and will report back to OMB prior to submitting the form for extension on the agency's progress as well as ways it has worked to further streamline the collection and minimize the data requested.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	36 Months From Approved
Responses	382,264	0	0
Time Burden (Hours)	1,720,188	0	0
Cost Burden (Dollars)	177,943,892	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	382,264	382,264
Annual Time Burden (Hours)	1,720,188	1,720,188
Annual Cost Burden (Dollars)	177,943,892	177,943,892

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

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new information collection there are no changes to report.

Annual Cost to Federal Government: $69,937,532

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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: Megan Barker 202 272-9135 megan.m.barker@uscis.dhs.gov

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