Information Collection

Application for Waiver of Ground of Excludability

IC 20294 under ICR 200911-1615-001 · OMB 1615-0029.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0029 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form I-601 Application for Waiver of Ground of Excludability	Form
I-601 Instructions No HIV 12-16-09.pdf	Instruction
Form I-601 Application for Waiver of Ground of Excludability I-601 Form No HIV 12-16-09.pdf	Form

IC Title:

Application for Waiver of Ground of Excludability

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-601	Application for Waiver of Ground of Excludability	I-601 Form No HIV 12-16-09.pdf		Yes	No	Fillable Printable
Instruction			I-601 Instructions No HIV 12-16-09.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 17,500

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	17,500	17,500
Annual IC Time Burden (Hours)	26,250	26,250
Annual IC Cost Burden (Dollars)	9,537,500	9,537,500

Documents for IC

table that charts IC Documents
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.