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Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
OMB: 1125-0001
IC ID: 12667
OMB.report
DOJ/EOIR
OMB 1125-0001
ICR 201111-1125-001
IC 12667
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0001 can be found here:
2022-11-03 - Revision of a currently approved collection
2022-01-17 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form EOIR-42b
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
Form and Instruction
EOIR-42a Application for Cancellation of Removal for Certain Perm
OMB EOIR-42A MasterFinaltemplate.pdf
Form and Instruction
EOIR-42b Application for Cencellation of Removal and Adjustment o
OMB EOIR-42B MasterFinaltemplate.pdf
Form and Instruction
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:
EOIR-42AB
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 and Instruction
EOIR-42b
Application for Cencellation of Removal and Adjustment of Status for Certain Nonpermanent Residents
OMB EOIR-42B MasterFinaltemplate.pdf
Yes
No
Fillable Printable
Form and Instruction
EOIR-42a
Application for Cancellation of Removal for Certain Permanent Residents
OMB EOIR-42A MasterFinaltemplate.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Judicial Hearing
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25,627
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
25,627
0
0
13,627
0
12,000
Annual IC Time Burden (Hours)
149,405
0
0
79,445
0
69,960
Annual IC Cost Burden (Dollars)
0
0
0
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.