Sponsor Deeming and Agency Reimbursement

Forms and Documents

Document Name	Status
Form G-1552 Sponsor Deeming and Agency Reimbursement Form and Instruction	New
G-1552 30-day 85 FR 26984.pdf Supplementary Document	2020-05-06
G-1552 Supporting Statement 20200617.docx Supporting Statement A	2020-06-17
PLAW-111publ148.pdf Supplementary Document	2020-05-01
PLAW-104publ193.pdf Supplementary Document	2020-05-01
PL 104-208.pdf Supplementary Document	2020-05-01
PL 99-603.pdf Supplementary Document	2020-05-01
Reference Citation.docx Supplementary Document	2020-05-01
G-1552-001 60-day 84 FR 69386.pdf Supplementary Document	2020-04-28

IC Document Collections

IC ID	Document Title	Status
241592	Sponsor Deeming and Agency Reimbursement Form and Instruction	New

ICR Details

OMB Control No: 1615-0154	ICR Reference No: 202004-1615-006
Status: Active	Previous ICR Reference No:
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-1552
Title: Sponsor Deeming and Agency Reimbursement
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: 07/14/2020
	Date Received in OIRA: 05/07/2020
Terms of Clearance: In accordance with 5 CFR 1320.10(c), the agency is receiving a one year approval on this collection of information. When the agency next seeks comment on this collection, it shall explicitly seek comment on the entire collection regardless of whether the agency is anticipating any revisions to the collection of information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2021	36 Months From Approved
Responses	324,737	0	0
Time Burden (Hours)	13,639	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: The G-1552 is created to collect information via Systematic Alien Verification for Entitlements (SAVE) program regarding actions that agencies adjudicating federal means-tested public benefits take to (1) deem sponsor income as part of applicant income for purposes of federal means-tested benefits eligibility and (2) seek reimbursement from sponsors for the value of federal means-tested public benefits provided to sponsored applicants.

---

Authorizing Statute(s): PL: Pub.L. 104 - 193 110 Stat. 2105, at 1621-1625 Name of Law: Personal Responsibility and Work Opportunity Reconciliation Act of 1996
   PL: Pub.L. 104 - 208 110 Stat. 3009-546 at 642 Name of Law: Illegal Immigration Reform and Immigrant Responsibility Act of 1996
   PL: Pub.L. 111 - 148 124 Stat. 119 at 1411(a)(1) Name of Law: Patient Protection and Affordable Care Act
   US Code: 8 USC 1631(a), (e), and (f) Name of Law: null
   PL: Pub.L. 99 - 603 121 Name of Law: Immigration Reform and Control Act of 1986
   US Code: 8 USC 1183(a) Name of Law: null
   US Code: 8 USC 1182(a)(4) Name of Law: null
  

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:
	84 FR 69386	12/18/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 26984	05/06/2020
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
Sponsor Deeming and Agency Reimbursement	G-1552	Sponsor Deeming and Agency Reimbursement

---

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	324,737	0	0	324,737	0	0
Annual Time Burden (Hours)	13,639	0	0	13,639	0	0
Annual Cost Burden (Dollars)	0	0	0	0	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: This is a new collection.

---

Annual Cost to Federal Government: $0

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.     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? No

---

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: 05/07/2020

---