Information Collection

Waiver of Rights, Privileges, Exemptions and Immunities

IC 20284 under ICR 201501-1615-006 · OMB 1615-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-508 Waiver of Rights, Privileges, Exemptions and Immunities	Form
I508-INS-30Day-01122015.pdf	Instruction
I-508 Waiver of Rights, Privileges, Exemptions and Immunities I508-FRM-30Day-01122015.pdf	Form

IC Title:

Waiver of Rights, Privileges, Exemptions and Immunities

Agency IC Tracking Number:

I-508

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 223 8 CFR 247 8 CFR 245

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	I-508	Waiver of Rights, Privileges, Exemptions and Immunities	I508-FRM-30Day-01122015.pdf		Yes	No	Fillable Printable
Instruction			I508-INS-30Day-01122015.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: .S. Citizenship and Immigration Services Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 1,728

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	1,728	-272	2,000
Annual IC Time Burden (Hours)	570	404	166
Annual IC Cost Burden (Dollars)	6,480	6,480	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.