Information Collection

Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents

IC 12667 under ICR 201603-1125-002 · OMB 1125-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EOIR 42A Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents	Form
42A Advice to Applicant Instructions.pdf	Other-Advice to Applicants
42A Form Instructions.pdf	Instruction
42B Advice to Applicant Instructions.pdf	Other-Advice to Applicant
42B Form Instructions.pdf	Instruction
EOIR 42A Application for Cancellation of Removal for Certain Perm 42A Form.pdf	Form
EOIR 42B Application for Cancellation of Removal and Adjustment o 42B Form.pdf	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	EOIR 42A	Application for Cancellation of Removal for Certain Permanent Residents	42A Form.pdf	Yes	No	Fillable Printable
Other-Advice to Applicants			42A Advice to Applicant Instructions.pdf	Yes	No	Fillable Printable
Instruction			42A Form Instructions.pdf	Yes	No	Fillable Printable
Form	EOIR 42B	Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermenant Residents	42B Form.pdf	Yes	No	Fillable Printable
Other-Advice to Applicant			42B Advice to Applicant Instructions.pdf	Yes	No	Fillable Printable
Instruction			42B Form Instructions.pdf	Yes	No	Fillable Printable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,654

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	25,654	-9,161	34,815
Annual IC Time Burden (Hours)	148,793	-54,178	202,971
Annual IC Cost Burden (Dollars)	0	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.