Information Collection

Application for Provisional Unlawful Presence Waiver

IC 200866 under ICR 201201-1615-004 · OMB 1615-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0123 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I601A-INS-60Day-03162012.pdf	Instruction
I-601A Application for Provisional Unlawful Presence Waiver I601A-FRM-60Day-03162012.pdf	Form

IC Title:

Application for Provisional Unlawful Presence Waiver

Agency IC Tracking Number:

I-601A

Is this a Common Form? No

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

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
Instruction			I601A-INS-60Day-03162012.pdf		Yes	No	Printable Only
Form	I-601A	Application for Provisional Unlawful Presence Waiver	I601A-FRM-60Day-03162012.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 38,277

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	38,277	38,277
Annual IC Time Burden (Hours)	57,416	57,416
Annual IC Cost Burden (Dollars)	0	0

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.