Information Collection

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

IC 20297 under ICR 201703-1615-008 · OMB 1615-0030.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0030 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
I612-INS-30Day-04042017.pdf	Instruction
Form I-612 Application for Waiver of the Foreign Residence Requirem I612-FRM-30Day-04042017.pdf	Form

IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212

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
Instruction			I612-INS-30Day-04042017.pdf		Yes	No	Printable Only
Form	Form I-612	Application for Waiver of the Foreign Residence Requirement of Section 212(e) of the Immigration and Nationality Act	I612-FRM-30Day-04042017.pdf		Yes	No	Fillable Printable

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: 736

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	736	-564	1,300
Annual IC Time Burden (Hours)	245	-188	433
Annual IC Cost Burden (Dollars)	90,160	-69,090	159,250

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.