Information Collection

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

IC 12667 under ICR 200808-1125-001 · OMB 1125-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0001 can be found here:

Documents and Forms

Document Name Document Type
Form EOIR-42A Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents Form
EOIR-42A application for cancellation of removal E-42A Draft Changes.pdf www.usdoj.gov/eoir/eoirforms/eoir42a.pdf Form
EOIR-42B application for cancellation of removal E-42B Draft Changes.pdf www.usdoj.gov/eoir/eoirforms/eoir42b.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 1240.20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EOIR-42A	application for cancellation of removal	E-42A Draft Changes.pdf	http://www.usdoj.gov/eoir/eoirforms/eoir42a.pdf	No		Fillable Printable
Form	EOIR-42B	application for cancellation of removal	E-42B Draft Changes.pdf	http://www.usdoj.gov/eoir/eoirforms/eoir42b.pdf	No		Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12,000	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	12,000	1,000	11,000
Annual IC Time Burden (Hours)	69,960	5,830	64,130
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.