Application for Waiver of Grounds of Inadmissibility

Forms and Documents

Document Name	Status
I-601 83C Supporting Statement SIJ Final Rule.docx Supporting Statement A	2022-04-04
I-601-INS-TOC-017-SIJFinalRule.docx Supplementary Document	2022-04-04
I-601 SIJ FR 83C.pdf Justification for No Material/Nonsubstantive Change	2022-03-21
DHS-USCIS-PIA-016a CLAIMS 3.pdf Supplementary Document	2019-03-04
DHS-USCIS-PIA-003 IDDMP.pdf Supplementary Document	2019-03-04
DHS.USCIS.PIA-061 BRIP.pdf Supplementary Document	2019-03-04
SORN DHS-USCIS-ICE-CBP-001.pdf Supplementary Document	2019-03-04
SORN DHS-USCIS-007 BIS.pdf Supplementary Document	2019-03-04
SORN DHS.USCIS-018 IBBC.pdf Supplementary Document	2019-03-04
I-601 Reference Citation..doc Supplementary Document	2012-06-11

IC Document Collections

IC ID	Document Title	Status
20294	Application for Waiver of Grounds of Inadmissibility Instruction	Modified

ICR Details

OMB Control No: 1615-0029	ICR Reference No: 202203-1615-008
Status: Received in OIRA	Previous ICR Reference No: 202107-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-601
Title: Application for Waiver of Grounds of Inadmissibility
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 05/25/2022

	Requested	Previously Approved
Expiration Date	07/31/2023	07/31/2023
Responses	17,000	17,000
Time Burden (Hours)	29,750	29,750
Cost Burden (Dollars)	6,311,250	6,311,250

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Abstract: 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.

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Authorizing Statute(s): US Code: 8 USC 1182 Name of Law: U.S. Code
  

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:
	85 FR 50833	08/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 74750	11/23/2020
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
Application for Waiver of Grounds of Inadmissibility	I-601	Application for Waiver of Grounds of Inadmissibility

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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	17,000	17,000	0	0	0	0
Annual Time Burden (Hours)	29,750	29,750	0	0	0	0
Annual Cost Burden (Dollars)	6,311,250	6,311,250	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: $15,810,000

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: 05/25/2022

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