I-212, CBP e-SAFE Filings

Application for Permission to Reapply for Admission into the United States after Deportation or Removal

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0018 can be found here:

Documents and Forms

Document Name Document Type
Form I-212 I-212, CBP e-SAFE Filings Form and Instruction
I-212 e-SAFE I-212_e-SAFE Screenshots-FINAL.docx Form and Instruction
I-212 e-SAFE I-212_e-SAFE Screenshots-FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	I-212, CBP e-SAFE Filings	Agency IC Tracking Number:	I-212

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-212	e-SAFE	I-212_e-SAFE Screenshots-FINAL.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/CBP-006 Automated Targeting System	FR Citation: 77 FR 30297

Number of Respondents: 1,200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,200	500	700
Annual IC Time Burden (Hours)	2,400	1,000	1,400
Annual IC Cost Burden (Dollars)	147,000	61,250	85,750

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.