Application by Refugee for Waiver of Grounds of Excludability

Forms and Documents

Document Name	Status
Form I-602 Application by Refugee for Waiver of Grounds of Excludability Form and Instruction	Modified
e(3) USCIS - Form I-602 Privacy Act Statement 20160614 PRIV Final.pdf Supplementary Document	2016-07-26
I602-FRM-TOC-EXT (PAS)-11212016.docx Supplementary Document	2016-12-15
privacy-pia-uscis-camino-may2015.pdf Supplementary Document	2016-05-31
I-602 Supporting Statement 05 18 16.doc Supporting Statement A	2016-05-31
DHS USCIS-005 SORN Inter-Country Adoptions .pdf Supplementary Document	2016-05-31
DHS USCIS ICE CBP-001 SORN Alien File Index.pdf Supplementary Document	2016-05-31
DHSUSCIS-007 SORN BIS.pdf Supplementary Document	2016-05-31
Reference Citations.pdf Supplementary Document	2016-05-31
30-day FRN 05 24 16.pdf Supplementary Document	2016-05-31
60-day FRN 03 18 16.pdf Supplementary Document	2016-05-31

IC Document Collections

IC ID	Document Title	Status
20382	Application by Refugee for Waiver of Grounds of Excludability Form and Instruction	Modified

ICR Details

OMB Control No: 1615-0069	ICR Reference No: 201605-1615-007
Status: Historical Active	Previous ICR Reference No: 201404-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: Form I-602
Title: Application by Refugee for Waiver of Grounds of Excludability
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/19/2016
	Date Received in OIRA: 06/29/2016
Terms of Clearance: Approved for only two years due to lack of GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	12/31/2016
Responses	2,500	0	2,500
Time Burden (Hours)	625	0	625
Cost Burden (Dollars)	0	0	0

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Abstract: This form will be used by the USCIS to determine approved refugee applicants eligibility for waivers.

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Authorizing Statute(s): US Code: 8 USC 1159 Name of Law: Immigration Nationality Act
   US Code: 8 USC 1157 Name of Law: Immigration Nationality Act
  

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:
	81 FR 14877	03/18/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 32770	05/24/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application by Refugee for Waiver of Grounds of Excludability	I-602	Application for Refugee for Waiver of Grounds of Excludability

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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	2,500	2,500	0	0	0	0
Annual Time Burden (Hours)	625	625	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $1,610,250

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: 06/29/2016

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