0920-0006 Supporting Statement B DGMQ-6.4.2020

Statement in Support of Application for Waiver of Inadmissibility

under Immigration and Nationality Act

(OMB Control No. 0920-0006)

Request for Revision of Currently Approved Data Collection

June 4, 2020

Contact:

Amy McMillen

Office of Policy and Planning

National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)

Centers for Disease Control and Prevention

1600 Clifton Road NE, MS H16-5

Atlanta, Georgia 30329-4027

Phone: (404) 639-1045

Email: [email protected]

B. Collections of Information Employing Statistical Methods

This information collection does not involve statistical methods.

1. Respondent universe and Sampling Methods

The respondent universe is any alien applicant for immigration to the United States who is attempting to pursue a waiver of an inadmissible health condition based on a mental disorder with associated harmful behavior. There are no sampling methods employed. The collection of information is authorized under immigration statute and regulation.

2. Procedures for the Collection of Information

CDC form 4.422-1 is generated by CDC with Part I completed with information provided on the DHS/USCIS waiver form (I-601or I-602), which includes the race/ethnicity of the applicant. Part II and III must be completed by the U.S. medical facility or specialist, and by the applicant and applicant’s sponsor. The completed statement must be reviewed by CDC before an applicant is approved for a waiver. The medical evaluation report from the U.S. medical facility or specialist is furnished to CDC to confirm that the individual did report to the U.S. medical facility or specialist and that an initial evaluation was done in compliance with the terms, conditions, and controls imposed by the waiver.

In detail, the process proceeds as follows:

1. The alien contacts the consular officer or DHS/USCIS officer to obtain the DHS/USCIS form I-601 (for immigrants) or I-602 (for refugees).

2. The alien completes form I-602/I-602 and files with DHS/USCIS.

3. The receiving DHS/USCIS office in the U.S. sends the medical documents and the I-601/I-602 form to CDC/DGMQ for review.

4. CDC/DGMQ reviews the medical information submitted to determine if the applicant meets the medical requirements for a waiver under Section 212(a)(1)(A)(iii)(I) or (II) as outlined above.

5. If the request for a waiver is under Section 212(a)(1)(A)(iii)(I) or (II), DGMQ issues and completes Part I of CDC Form 4.422-1 as the Reviewing Official.

6. CDC then sends the form back to the requesting DHS/USCIS office. As applicable, that office, in turn, forwards CDC Form 4.422-1 to the applicant’s sponsor in the U.S. for completion.

7. The applicant’s sponsor locates a medical facility or specialist in the U.S. who will agree to perform the applicant’s initial evaluation. As applicable, the physician completes Part II of CDC form 4.422-1, indicating that he/she will indeed perform the applicant’s initial evaluation after the applicant admission to the U.S. The applicant (or applicant’s sponsor) completes, as applicable, Part III of CDC form 4.422-1, affirming that the applicant will report to the specialist or facility that completed Part II.

8. Completed forms are returned to CDC/DGMQ for final review. If CDC approves, they will let DHS/USCIS know they support the waiver. DHS/USCIS makes the final decision on whether or not a waiver will be granted. Once the waiver is approved by DHS/USCIS and the applicant is admitted to the United States, the evaluation occurs.

3. Methods to Maximize Response Rates and Deal with No Response

If the process described above is not completed, including the submission of information outlined in CDC Form 4.422-1 to CDC, then a waiver cannot be issued. No response would lead to an alien not receiving a waiver and the alien would remain inadmissible to the United States.

4. Tests of Procedures or Methods to be Undertaken

There have been no tests of procedures or methods. CDC has received no complaints regarding the collection of information on CDC form 4.422-1.

5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

No statistical methods are employed in this information collection.