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Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations)
Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act
OMB: 1615-0032
IC ID: 214079
OMB.report
DHS/USCIS
OMB 1615-0032
ICR 202012-1615-002
IC 214079
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0032 can be found here:
2024-02-09 - Revision of a currently approved collection
2023-08-17 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
I690-Sup1-FRM-OMBApproved-07232020.pdf
Other-Supplement
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
CFR Citation:
8 CFR 245a (To search for a specific CFR, visit the
Code of Federal Regulations.
)
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Supplement
I690-Sup1-FRM-OMBApproved-07232020.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
Benefits Information System
FR Citation:
81 FR 72069
Number of Respondents:
11
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
11
0
0
0
0
11
Annual IC Time Burden (Hours)
22
0
0
0
0
22
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.