Application for Provisional Unlawful Presence Waiver

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form I-601A Application for Provisional Unlawful Presence Waiver Form
I601A-INS-30Day-03242015.pdf Instruction
I-601A Application for Provisional Unlawful Presence Waiver I601A-FRM-30Day-03242015.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Provisional Unlawful Presence Waiver	Agency IC Tracking Number:	I-601A

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.7(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-601A	Application for Provisional Unlawful Presence Waiver	I601A-FRM-30Day-03242015.pdf		Yes	No	Fillable Printable
Instruction			I601A-INS-30Day-03242015.pdf		Yes	No	Printable Only

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: 35,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	35,000	-27,348	62,348
Annual IC Time Burden (Hours)	52,500	-41,022	93,522
Annual IC Cost Burden (Dollars)	1,519,000	1,519,000	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.