View Information Collection Request (ICR) Package
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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:
1405-0223
ICR Reference No:
201912-1405-004
Status:
Active
Previous ICR Reference No:
201610-1405-003
Agency/Subagency:
STATE/AFA
Agency Tracking No:
Title:
Adoption Family Relief Act Refund Application
Type of Information Collection:
Extension without change of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
12/09/2022
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/31/2019
Terms of Clearance:
The agency adjusted its submission policies to accommodate email-based submissions.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2025
36 Months From Approved
12/31/2022
Responses
20
0
600
Time Burden (Hours)
2
0
50
Cost Burden (Dollars)
94
0
0
Abstract:
The Adoptive Family Relief Act allows for the waiver or refund certain immigrant visa fees for a lawfully adopted child. This collection will gather information to determine the extra fees these families have paid in order to refund them.
Authorizing Statute(s):
US Code:
8 USC 1202
Name of Law: Immigration and Nationality Act
PL:
Pub.L. 114 - 70 2
Name of Law: Adoptive Family Relief Act
US Code:
8 USC 1201
Name of Law: Immigration and Nationality Act
Citations for New Statutory Requirements:
PL: Pub.L. 114 - 70 2 Name of Law: Adoptive Family Relief Act
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:
84 FR 47032
09/06/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 72101
12/30/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Adoptive Family Relief Act Refund Application
DS-7781
Adoptive Family Relief Act Refund Application
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
20
600
0
-580
0
0
Annual Time Burden (Hours)
2
50
0
-48
0
0
Annual Cost Burden (Dollars)
94
0
0
94
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Cutting Redundancy
Short Statement:
The Department expect workload to be much lower than when the form was first implemented. The majority of people eligible for a waiver or refund of immigrant visa fees, in accordance with the guidelines of the Adoptive Family Relief Act, have already submitted a DS-7781, and their refunds have been processed.
Annual Cost to Federal Government:
$758
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?
No
Agency Contact:
Robert Schlicht 202 486-6685 schlichtrr@state.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
12/31/2019
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