Waiver of Rights, Privileges, Exemptions and Immunities

Forms and Documents

Document Name	Status
Form I-508 Waiver of Rights, Privileges, Exemptions and Immunities Form	Modified
I-508 EXT Supporting Statement.docx Supporting Statement A	2021-10-07
I-508 60-Day FRN.pdf Supplementary Document	2021-10-07
I-508 30-Day FRN.pdf Supplementary Document	2021-10-07
DHS.USCIS.001 - Alien File, Index, and National File Tracking System of Records, November 21, 2013, 78 FR 69864.pdf Supplementary Document	2019-05-06
SORN DHS-USCIS-007 BIS.pdf Supplementary Document	2019-05-06
DHS-USCIS-PIA-003 IDDMP.pdf Supplementary Document	2019-05-06
Reference Citations.doc Supplementary Document	2008-06-26

IC Document Collections

IC ID	Document Title	Status
20284	Waiver of Rights, Privileges, Exemptions and Immunities Form	Modified

ICR Details

OMB Control No: 1615-0025	ICR Reference No: 202110-1615-003
Status: Received in OIRA	Previous ICR Reference No: 201905-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-508
Title: Waiver of Rights, Privileges, Exemptions and Immunities
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/05/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	11/30/2021
Responses	1,928	1,928
Time Burden (Hours)	1,446	1,446
Cost Burden (Dollars)	15,424	15,424

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Abstract: This information will be used by USCIS to determine eligibility of an alien applicant to retain the status of alien lawfully admitted to the United States for permanent residence.

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Authorizing Statute(s): US Code: 8 USC 1257 Name of Law: Immigration and Nationality Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 31519	06/14/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 52490	09/21/2021
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Waiver of Rights, Privileges, Exemptions and Immunities	I-508	Waiver of Rights, Privileges, Exemptions and Immunities

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,928	1,928	0	0	0	0
Annual Time Burden (Hours)	1,446	1,446	0	0	0	0
Annual Cost Burden (Dollars)	15,424	15,424	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/05/2021

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