Application for Suspension of Deportation

Forms and Documents

Document	Type	Status	Availability
Form 1125-0009 E-40 Application for Suspension of Deportation	Form and Instruction	Unchanged	Available
60-Day FR Notice Form EOIR-40.pdf	Supplementary Document	Uploaded 2018-07-20	Available
Cover Letter to Lynn Murray E-40 2015.docx	Supplementary Document	Uploaded 2015-09-17	Repair queued
83i-fill EOIR-40 2015.pdf	Supplementary Document	Uploaded 2015-09-17	Available
PRA cert signature page.pdf	Supplementary Document	Uploaded 2015-09-17	Repair queued
Authority.rtf	Supplementary Document	Uploaded 2015-09-17	Available
E-40 narrative, Zip Code Change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2015-07-22	Repair queued
2015 EOIR-40 SUPPORTING STATEMENT_Updated.pdf	Supporting Statement A	Uploaded 2015-09-23	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
12692	Application for Suspension of Deportation	Form and Instruction	Unchanged

ICR Details

OMB Control No: 1125-0009	ICR Reference No: 201807-1125-003
Status: Active	Previous ICR Reference No: 201509-1125-001
Agency/Subagency: DOJ/EOIR	Agency Tracking No: EOIR-40
Title: Application for Suspension of Deportation
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: 01/31/2019
	Date Received in OIRA: 11/30/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2022	36 Months From Approved	02/28/2019
Responses	160	0	160
Time Burden (Hours)	920	0	920
Cost Burden (Dollars)	0	0	0

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Abstract: The Form EOIR-40 is filed in Immigration Court by certain deportable aliens who seek to have their deportation suspended and to become lawful permanent residents.

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Authorizing Statute(s): US Code: 8 USC 1254 Name of Law: INA
  

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:
	83 FR 35499	07/26/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 60501	11/26/2018
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 for Suspension of Deportation	1125-0009 E-40	Application for Suspension of Deportation

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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	160	160	0	0	0	0
Annual Time Burden (Hours)	920	920	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: $240

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.     Yes

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: 11/30/2018

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