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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.