View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1615-0151	ICR Reference No: 201908-1615-001
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-1530
Title: USCIS Tip Form
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: 02/07/2020
	Date Received in OIRA: 09/27/2019
Terms of Clearance: The agency acknowledged the potential overlap between the USCIS and ICE tip forms, given that the public may not fully understand the difference between those tips that are appropriate for USCIS benefits fraud investigations and those that are most appropriate for ICE criminal fraud investigations.. Before 02/2021, USCIS and ICE will provide a report to OIRA on the ability of the two components to provide further clarity to, and reduce burden on, the public in this area. Approved for 18 months only. .

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2021	36 Months From Approved
Responses	55,000	0	0
Time Burden (Hours)	9,130	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	55,000	55,000
Annual Time Burden (Hours)	9,130	9,130
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: There is no program change or adjustment, this is a new collection of information.

Annual Cost to Federal Government: $881,650

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: Manuel Avendano 202 272-9747 manuel.a.avendano@uscis.dhs.gov

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