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View ICR - OIRA Conclusion

OMB Control No: 1615-0116	ICR Reference No: 202401-1615-043
Status: Historical Active	Previous ICR Reference No: 202106-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-912
Title: Request for Fee Waiver
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/19/2024
	Date Received in OIRA: 02/08/2024
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	09/30/2024
Responses	602,528	0	602,528
Time Burden (Hours)	659,768	0	704,958
Cost Burden (Dollars)	2,259,480	0	2,259,480

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	602,528	602,528	0
Annual Time Burden (Hours)	659,768	704,958	-45,190
Annual Cost Burden (Dollars)	2,259,480	2,259,480	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: Changing Forms

Short Statement: There is a decrease in the annual estimated hour burden to respondents, due to the removal of fee related content in instructions and consolidation and reformatting of fee related language in the Form G-1055, Fee Schedule. Additionally, DHS has decided to accept evidence of receipt of a means-tested benefit by a household child as evidence of the parent’s inability to pay because eligibility for these means-tested benefits is dependent on household income. DHS also made changes to the Forms I-912 form and instructions to streamline data collection and clarifying instruction contents as part of final rule (RIN: 1615-AC68).

Annual Cost to Federal Government: $24,108,886

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: Kim Bouknight-Makle 240 850-8945 kim.d.bouknight-makle@uscis.dhs.gov

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