Information Collection

Fee Waiver Request

IC 12674 under ICR 201105-1125-001 · OMB 1125-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0003 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 26 A Fee Waiver Request	Form
26 A Fee Waiver Request E-26a_Example_of_Changes.pdf	Form

IC Title:

Fee Waiver Request

Agency IC Tracking Number:

EOIR 26A

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 1003.8

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	26 A	Fee Waiver Request	E-26a_Example_of_Changes.pdf		Yes	No	Fillable Printable

Line of Business: General Government

Subfunction: Executive Functions

Privacy Act System of Records

Title: Records and Management Information System

FR Citation: 72 FR 3410

Number of Respondents: 5,970

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5,970	4,470	1,500
Annual IC Time Burden (Hours)	5,970	4,470	1,500
Annual IC Cost Burden (Dollars)	59,700	44,700	15,000

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.