Application for Waiver of
Grounds of Inadmissibility
Extension without change of a currently approved collection
No
Regular
12/03/2020
Requested
Previously Approved
36 Months From Approved
07/31/2021
17,000
17,000
29,750
29,750
6,311,250
6,311,250
The information collected on this form
is used by the U.S. Citizenship and Immigration Services (USCIS) to
determine whether the applicant is eligible for a waiver of
excludability under section 212 of the Immigration and Nationality
Act.
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:
(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;
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.