Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
I-612 60-day FRN.pdf	Supplementary Document	Uploaded 2017-03-22	Available
I-612 30d 20170309.pdf	Supplementary Document	Uploaded 2017-03-22	Available
Reference Citation.docx	Supplementary Document	Uploaded 2017-03-22	Available
Retention Schedule N1_85_96_01_Receipt_Files (12082016).pdf	Supplementary Document	Uploaded 2017-03-22	Available
SORN 007 Benefits Info Sys 2008 09 29.html	Supplementary Document	Uploaded 2017-03-22	Available
PTA USCIS - Form I-612 20170314 PRIV Final.pdf	Supplementary Document	Uploaded 2017-03-22	Available
I612-FRM-TOC-30Day-04042017.docx	Supplementary Document	Uploaded 2017-04-17	Available
I612-INS-TOC-30Day-04042017.docx	Supplementary Document	Uploaded 2017-04-17	Available
I-612 SS 20170301final.docx	Supporting Statement A	Uploaded 2017-03-22	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20297	Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act	Instruction	Modified

ICR Details

OMB Control No: 1615-0030	ICR Reference No: 201703-1615-008
Status: Historical Active	Previous ICR Reference No: 201610-1615-042
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-612
Title: Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/24/2017
	Date Received in OIRA: 03/31/2017
Terms of Clearance: Approved for two years only due to partial GPEA compliance.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2019	36 Months From Approved	04/30/2017
Responses	736	0	1,300
Time Burden (Hours)	245	0	433
Cost Burden (Dollars)	90,160	0	159,250

---

Abstract: Certain aliens admitted to the United States as exchange visitors are subject to the foreign residence requirements of section 212(e) of the Immigration and Nationality Act. Section 212(e) of the Act also provides for a waiver of the foreign residence requirement in certain instances. This information will be used by the USCIS to determine eligibility for a waiver.

---

Authorizing Statute(s): US Code: 8 USC 1182 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 85245	11/25/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13129	03/09/2017
Did the Agency receive public comments on this ICR? Yes

---

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act	Form I-612	Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act

---

ICR Summary of Burden

table that charts list 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	736	1,300	0	0	-564	0
Annual Time Burden (Hours)	245	433	0	0	-188	0
Annual Cost Burden (Dollars)	90,160	159,250	0	0	-69,090	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: The change in the total hour burden estimate is due to a change in the estimated number of respondents for the form. There are no substantive changes to the form or instructions. There is a change in the estimated cost burden to the respondents due to the decrease in the estimated number of respondents to the form.

---

Annual Cost to Federal Government: $684,480

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

---

Common Form ICR:  No

---

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: 03/31/2017

---