Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1)

Statement in Support of Application for Waiver of Inadmissibility Under Immigration and Nationality Act

OMB: 0920-0006

IC ID: 6595

Information Collection (IC) Details

View Information Collection (IC)

Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 4 422-1 STATEMENTS IN SUPPORT OF APPLICATION FOR WAIVER OF INADMISSIBILITY Attachment C CDC Form 4 422-1.pdf Yes No Fillable Printable

Health Public Health Monitoring

09-02-0102: Alien Mental Waiver Program  51 FR 42461

200 0
   
Private Sector Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 0 0 200
Annual IC Time Burden (Hours) 33 0 0 0 0 33
Annual IC Cost Burden (Dollars) 3,260 0 -12,740 0 0 16,000

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