Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form EOIR-42A Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents	Form	Modified	Available
E-42 2008 SUPPORTING STATEMENT 7-28-8.doc	Supporting Statement A	Uploaded 2008-12-09	Available
K__Forms_E-42_EOIR 42 2008_Authority.pdf	Supplementary Document	Uploaded 2008-12-01	Available
Memorandum cover to JMD E-42ab.pdf	Supplementary Document	Uploaded 2008-08-07	Available
Form changes E-42ab.pdf	Supplementary Document	Uploaded 2008-08-07	Available
Certification Statement E-42ab.pdf	Supplementary Document	Uploaded 2008-08-07	Available
OMB Form 83-I PRA submission E-42ab.pdf	Supplementary Document	Uploaded 2008-08-07	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
12667	Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents	Form	Modified

ICR Details

OMB Control No: 1125-0001	ICR Reference No: 200808-1125-001
Status: Historical Active	Previous ICR Reference No: 200508-1125-002
Agency/Subagency: DOJ/EOIR	Agency Tracking No: EOIR-42ab
Title: Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
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: 03/06/2009
	Date Received in OIRA: 12/09/2008
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2012	36 Months From Approved	03/31/2009
Responses	12,000	0	11,000
Time Burden (Hours)	69,960	0	64,130
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection is necessary to determine the statutory eligibility of individual aliens who have been determined to be removable from the US for cancellation of removal, and to provide information relevant to a favorable grant of discretion.

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Authorizing Statute(s): US Code: 8 USC 1103(g)(2) Name of Law: IMMIGRATION AND NATIONALITY
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 53282	09/15/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 70675	11/21/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents	EOIR-42A, EOIR-42B	application for cancellation of removal ,   application for cancellation of removal

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ICR Summary of Burden

table that charts list 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	12,000	11,000	0	1,000	0	0
Annual Time Burden (Hours)	69,960	64,130	0	5,830	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: Number of form user has increased thus increasing the number of responses.

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Annual Cost to Federal Government: $15,600

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 12/09/2008

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