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Application for Relief under Former Section 212(c) of the Immigration and Nationality Act
Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)
OMB: 1615-0016
IC ID: 20264
OMB.report
DHS/USCIS
OMB 1615-0016
ICR 202007-1615-045
IC 20264
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0016 can be found here:
2024-02-08 - Revision of a currently approved collection
2023-07-24 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form I-191
Application for Relief under Former Section 212(c) of the Immigration and Nationality Act
Form
I191-009-INS-FinalFeeRule-06102020.pdf
Instruction
I-191 Application for Relief under Former Section 212(c) of th
I191-009-FRM-FinalFeeRule-06102020.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Relief under Former Section 212(c) of the Immigration and Nationality Act
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 212
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
I-191
Application for Relief under Former Section 212(c) of the Immigration and Nationality Act
I191-009-FRM-FinalFeeRule-06102020.pdf
Yes
No
Fillable Printable
Instruction
I191-009-INS-FinalFeeRule-06102020.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
DHS/USCIS-007 Benefits Information System
FR Citation:
73 FR 56596
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
240
0
0
0
0
240
Annual IC Time Burden (Hours)
360
0
0
0
0
360
Annual IC Cost Burden (Dollars)
30,300
0
0
0
0
30,300
Documents for IC
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.