Application for Waiver of Passport and/or Visa

Forms and Documents

Document Name	Status
Form DHS Form I-193 Application for Waiver of Passport and/or Visa Form and Instruction	Modified
8 CFR 212.pdf Supplementary Document	2017-10-16
8 CFR 211.1.pdf Supplementary Document	2017-10-16
8 CFR 103.7.pdf Supplementary Document	2017-10-16
USCODE-2011-title8-chap12.pdf Supplementary Document	2017-10-16
DHS-2016-0043-0001 SORN USCIS BIS.pdf Supplementary Document	2017-10-16
1651-0107 30 day FRN 2017.pdf Supplementary Document	2017-10-16
60 day FRN.pdf Supplementary Document	2017-10-16
ROCIS 1651-0107 SS 2017.doc Supporting Statement A	2017-11-28
privacy_pia_cis_claims3.pdf Supplementary Document	2011-06-14

IC Document Collections

IC ID	Document Title	Status
20885	Application for Waiver of Passport and/or Visa Form and Instruction	Modified

ICR Details

OMB Control No: 1651-0107	ICR Reference No: 201710-1651-002
Status: Active	Previous ICR Reference No: 201408-1651-002
Agency/Subagency: DHS/USCBP	Agency Tracking No:
Title: Application for Waiver of Passport and/or Visa
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 without change	Conclusion Date: 03/06/2018
	Date Received in OIRA: 11/30/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2021	36 Months From Approved	03/31/2018
Responses	25,000	0	25,000
Time Burden (Hours)	4,150	0	4,150
Cost Burden (Dollars)	14,625,000	0	14,625,000

---

Abstract: DHS Form I-193 is used by an aliens who wish to waive the documentary requirements for passports and/or visas due to an unforeseen emergency. CBP uses this information to determine whether the applicant is eligible for entry into the United States.

---

Authorizing Statute(s): US Code: 8 USC 12 Name of Law: Immigration and Nationality Act
  

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:
	82 FR 34962	07/27/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 48109	10/16/2017
Did the Agency receive public comments on this ICR? No

---

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

IC Title	Form No.	Form Name
Application for Waiver of Passport and/or Visa	DHS Form I-193	Application for Waiver of Passport and/or Visa

---

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	25,000	25,000	0	0	0	0
Annual Time Burden (Hours)	4,150	4,150	0	0	0	0
Annual Cost Burden (Dollars)	14,625,000	14,625,000	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:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 11/30/2017

---