Information Collection

Application for Cancellation of Removal: 42A) for Certain Permanent Residents, and 42B) Adjustment of Status for Certain Nonpermanent Residents

IC 12666 under ICR 200206-1125-005 · OMB 1125-0001.

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Information Collection (IC) Details

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IC Title:	Application for Cancellation of Removal: 42A) for Certain Permanent Residents, and 42B) Adjustment of Status for Certain Nonpermanent Residents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EOIR-42A				No	No
Form	42B				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 11,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	11,000	6,875	4,125
Annual IC Time Burden (Hours)	63,250	39,532	23,718
Annual IC Cost Burden (Dollars)	1,100,000	687,000	413,000

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