Request for Fee Waiver

Forms and Documents

Document Name	Status
I912-PRAPASWeb-OMBPassback-05032013 (2).docx Supplementary Document	2013-05-03
DACA Fee Exemption (05032013) (3).docx Supplementary Document	2013-05-03
(www uscis gov)(feewaiver)(05032013) (3).docx Supplementary Document	2013-05-03
I912-INS-TOC-OMBReview-05032013 (4).docx Supplementary Document	2013-05-03
I-912 PUBLISHED 30-day notice.10.30.12.pdf Supplementary Document	2012-11-01
60-day FRN Pub 2012-8-21.pdf Supplementary Document	2012-11-01
SORN.htm Supplementary Document	2012-11-01
PIA.pdf Supplementary Document	2012-11-01
Reference Citation.doc Supplementary Document	2012-10-31
I912-INS-TOC-OMB30Day-10092012.doc Supplementary Document	2012-10-31
I912-FRM-TOC-OMB30Day-10092012.doc Supplementary Document	2012-10-31
I-912 Revision 30-Day Notice Supporting Statement.5.3.13.doc Supporting Statement A	2013-05-03

IC Document Collections

IC ID	Document Title	Status
204681	8 CFR 103.7(d) Director's exception request	New
204680	DACA Fee Exemption Request Other-Web Instructions	New
204678	Non-form Request for Fee Waiver Instruction	New
194028	Request for Fee Waiver Other-Poverty Guidelines	Modified

ICR Details

OMB Control No: 1615-0116	ICR Reference No: 201210-1615-005
Status: Historical Active	Previous ICR Reference No: 201107-1615-012
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-912
Title: Request for Fee Waiver
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/10/2013
	Date Received in OIRA: 10/31/2012
Terms of Clearance: Approved for two years only due to lack of GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2015	36 Months From Approved	05/31/2013
Responses	402,210	0	85,000
Time Burden (Hours)	470,586	0	99,110
Cost Burden (Dollars)	0	0	0

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Abstract: The collection of information on Form I-912 is necessary in order for U.S. Citizenship and Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application fee for certain immigration benefits.

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Authorizing Statute(s): US Code: 8 USC 1103 Name of Law: United States Code
  

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:
	77 FR 50521	08/21/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 65702	10/30/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Non-form Request for Fee Waiver
DACA Fee Exemption Request
Request for Fee Waiver	I-912	Request for Fee Waiver
8 CFR 103.7(d) Director's exception request

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ICR Summary 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	402,210	85,000	0	2,200	315,010	0
Annual Time Burden (Hours)	470,586	99,110	0	2,574	368,902	0
Annual Cost Burden (Dollars)	0	0	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: No

Burden Reduction Due to:

Short Statement: USCIS previously estimated 85,000 respondents and 99,100 burden hours for this collection. The number of fee waiver requests actually received has increased substantially from what was previously estimated. Between fiscal years 2008 and 2011, the number of applicants requesting fee waivers increased 230 percent. No study has been performed to determine why the volume of fee waivers has increased and no direct relationships have been documented, but USCIS believes it is likely as the result of the declining economic conditions during that period. From October 2011 to June 2012, USCIS received more than 150,000 Form N-400 fee waiver requests, with a total revenue loss of over $72 million. Forms I-90 and I-765 also have a high rate of fee waiver requests. Based on the recent volume of fee waiver requests received, USCIS estimates this upward trend will continue. USCIS now estimates that 402,210 individuals might request fee waivers or exemptions requiring 470,586 burden hours. The total burden hours have increased by 368,902 burden hours because USCIS is now reporting this increase in the number of respondents.

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Annual Cost to Federal Government: $18,823,428

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? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 10/31/2012

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