Application for Advance Permission to Enter as Nonimmigrant Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA

Forms and Documents

Document Name	Status
Form I-192 I-192, CBP e-SAFE Filings Form and Instruction	New
Form Form I-192 Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3)(A)(ii) of the INA) Form	Modified
83c e-SAFE Form I-192 signed.pdf Justification for No Material/Nonsubstantive Change	2019-04-11
Cert Statement for Sig.docx Supplementary Document	2019-04-11
PTA USCIS - Form I-192 20170627 PRIV Final.pdf Supplementary Document	2019-04-11
I-192-e-SAFE-Supporting Statement-83C-FINAL.docx Supporting Statement A	2019-04-11
SORN 011 U.S. Customs and Border Protection TECS (December 19, 2008) 73 FR 77778.pdf Supplementary Document	2019-04-11
PIA, CBP-e-SAFE, 20190313, PRIV Final [signed].pdf Supplementary Document	2019-04-11
privacy-pia-cbp006-ats-november2017.pdf Supplementary Document	2018-06-18
privacy-pia-016a-uscis-claims3-march25,2016.pdf Supplementary Document	2018-06-18
SORN DHS_CBP 006 Auto Target Syst 20120522.pdf Supplementary Document	2018-06-18
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2018-06-18
SORN 001 AFileIndexNFTS 2013 11 21.html Supplementary Document	2018-06-18
I-192 Reference Citations.doc Supplementary Document	2015-03-11

IC Document Collections

IC ID	Document Title	Status
235649	I-192, CBP e-SAFE Filings Form and Instruction	New
20267	Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3)(A)(ii) of the INA) Form	Modified

ICR Details

OMB Control No: 1615-0017	ICR Reference No: 201904-1615-003
Status: Historical Active	Previous ICR Reference No: 201805-1615-013
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-192
Title: Application for Advance Permission to Enter as Nonimmigrant Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/17/2019
	Date Received in OIRA: 04/26/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2021	04/30/2021	04/30/2021
Responses	68,050	0	68,050
Time Burden (Hours)	100,325	0	102,075
Cost Burden (Dollars)	17,522,875	0	16,672,250

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Abstract: This form is provided by the U.S. Citizenship and Immigration Services (USCIS) as a means for certain inadmissible nonimmigrant aliens to apply for permission to enter the United States. This form is also used by U.S. Customs and Border Protection (CBP), to grant temporary permission to certain inadmissible nonimmigrants who wish to enter the United States through a port of entry pursuant to section 212(d)(3) of the INA and 8 CFR 212.4. USCIS also uses this form to address inadmissibility issues for T (Victims of Severe Forms of Trafficking in Persons) and U (Victims of Criminal Activity) petitioners. This is in accordance with 8 CFR 212.16, 8 CFR 212.17 and 8 CFR 214.14.

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

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 8498	02/27/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 24331	05/25/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3)(A)(ii) of the INA)	Form I-192	Application for Advance Permission to Enter as Nonimmigrant (Pursuant to Section 212(d)(3)(A)(ii) of the INA)
I-192, CBP e-SAFE Filings	I-192	e-SAFE

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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	68,050	68,050	0	0	0	0
Annual Time Burden (Hours)	100,325	102,075	0	0	-1,750	0
Annual Cost Burden (Dollars)	17,522,875	16,672,250	0	0	850,625	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: USCIS is submitting an 83C to add an e-filing instrument for Form I-192 when filed with CBP. The estimated annual hour burden for this collection of information decreased from 102,075 to 100,325 hours due to a decrease in the hour burden per response for submitting Form I-192 via e-SAFE to CBP from 1.25 to 1.5 hours, to account for efficiencies created in an electronic filing environment like e-SAFE. There was no change in the estimated number of respondents for this collection of information. The total respondent population previously reported is, however, now being accounted for separately for USCIS and CBP. The estimated annual cost burden for this collection of information increased due to an adjustment in the estimated average cost per respondent.

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Annual Cost to Federal Government: $63,286,500

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: 04/26/2019

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