Application for Waiver of Inadmissibility Under Immigration and Nationality Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
0920-0006_ATT 3_60d FRN.pdf	Supplementary Document	Uploaded 2008-10-03	Repair queued
0920-0006_2008 Supporting Statement.doc	Supporting Statement A	Uploaded 2008-09-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6595	Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1)	Other-WORD	Modified
186936	Follow-up of Immigrants or Refugees with Human Immunodeficiency Virus (HIV) Infection After Resettlement	Other-WORD	New
186935	Follow-up of Immigrants or Refugees with Class A Physical or Mental Condition	Other-WORD	New

ICR Details

OMB Control No: 0920-0006	ICR Reference No: 200810-0920-002
Status: Historical Active	Previous ICR Reference No: 200512-0920-002
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Application for Waiver of Inadmissibility Under Immigration and Nationality Act
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/11/2008
	Date Received in OIRA: 10/17/2008
Terms of Clearance: In FY2007, DOS reported that its consular officers found 746 immigrants ineligible for admission to the United States under the communicable disease grounds of INA 212(a)(1)(A)(i); 327 of those immigrants overcame the initial finding. Based on the FY2007 figures, an annual number of response estimate of 600 and the time burden associated with those responses may be an underestimation. Revisions to these estimates may need to be made in the future.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	36 Months From Approved	02/28/2009
Responses	600	0	600
Time Burden (Hours)	167	0	167
Cost Burden (Dollars)	16,000	0	16,000

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Abstract: Section 212(a)(1) of the Immigration and Nationality Act states, that aliens with specific health related conditions are ineligible for admission into the United States. The Attorney General may waive application of this inadmissibility on health-related grounds if an application for waiver is filed and approved by the consular office considering the application for visa. CDC uses this application primarily to collect information to establish and maintain records of waiver applicants in order to notify the U.S. Citizenship and Immigration Services when terms, conditions and controls imposed by waiver are not met. CDC is requesting approval from OMB to collect this date for another 3 years.

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Authorizing Statute(s): US Code: 8 USC 212(a)(1) Name of Law: Immigration and Nationality Act
  

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 47604	08/14/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 55845	09/26/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1)
Follow-up of Immigrants or Refugees with Class A Physical or Mental Condition
Follow-up of Immigrants or Refugees with Human Immunodeficiency Virus (HIV) Infection After Resettlement

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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	600	600	0	0	0	0
Annual Time Burden (Hours)	167	167	0	0	0	0
Annual Cost Burden (Dollars)	16,000	16,000	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: Yes

Burden Reduction Due to: Changing Forms

Short Statement: This is a EXTENSION WITHOUT CHANGE OF A CURRENTLY APPROVED COLLECTION. There are no changes in burden in this information collection request.

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Annual Cost to Federal Government: $90,000

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? Yes

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: 10/17/2008

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