Information Collection

Waiver of Rights, Privileges, Exemptions and Immunities

IC 20284 under ICR 201905-1615-001 · OMB 1615-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0025 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-508 Waiver of Rights, Privileges, Exemptions and Immunities	Form
I-508-INS.pdf www.uscis.gov/i-508	Instruction
I-508 Waiver of Rights, Privileges, Exemptions and Immunities I-508-FRM.pdf www.uscis.gov/i-508	Form

IC Title:

Waiver of Rights, Privileges, Exemptions and Immunities

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 223 8 CFR 247 8 CFR 245

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
Form	I-508	Waiver of Rights, Privileges, Exemptions and Immunities	I-508-FRM.pdf	https://www.uscis.gov/i-508	Yes	No	Fillable Printable
Instruction			I-508-INS.pdf	https://www.uscis.gov/i-508	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/USCIS-001 â Alien File, Index, and National File Tracking System of Records

FR Citation: 78 FR 69864

Number of Respondents: 1,928

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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,928	200	1,728
Annual IC Time Burden (Hours)	1,446	150	1,296
Annual IC Cost Burden (Dollars)	15,424	1,600	13,824

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.