Information Collection

Application for Cancellation of Removal for Certain Lawful Permanent Residents

IC 12667 under ICR 202210-1125-003 · OMB 1125-0001.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0001 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EOIR-42A Application for Cancellation of Removal for Certain Lawful Permanent Residents	Form and Instruction
EOIR-42A Application for Cancellation of Removal for Lawful Perma eoir-42a_Aug 2022_final(2).pdf	Form and Instruction
EOIR-42A Application for Cancellation of Removal for Lawful Perma eoir-42a_Aug 2022_final(2).pdf	Form and Instruction

IC Title:

Application for Cancellation of Removal for Certain Lawful Permanent Residents

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 1240.20

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EOIR-42A	Application for Cancellation of Removal for Lawful Permanent Residents	eoir-42a_Aug 2022_final(2).pdf		Yes	Yes	Fillable Fileable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records

Title: EOIR-001 Records Management and Information System

FR Citation: 69 FR 26179

Number of Respondents: 2,082

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,082	-25,917	27,999
Annual IC Time Burden (Hours)	12,145	-150,249	162,394
Annual IC Cost Burden (Dollars)	208,200	208,200	0

Documents for IC

table that charts IC Documents
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.