Application for Relief under Former Section 212(c) of the Immigration and Nationality Act

Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0016 can be found here:

Documents and Forms

Document Name Document Type
Form I-191 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act Form
Form I-191 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act Form
I191-011-INS-FeeRule-OMBReview-NPRM-07072022.pdf Instruction
I191-011-INS-FeeRule-OMBReview-NPRM-07072022.pdf Instruction
I-191 Application for Relief under Former Section 212(c) of th I191-011-FRM-FeeRule-OMBReview-NPRM-07072022.pdf Form
I-191 Application for Relief under Former Section 212(c) of th I191-011-FRM-FeeRule-OMBReview-NPRM-07072022.pdf Form

Information Collection (IC) Details

IC Title:	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	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 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-191	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	I191-011-FRM-FeeRule-OMBReview-NPRM-07072022.pdf		Yes	No	Fillable Printable
Instruction			I191-011-INS-FeeRule-OMBReview-NPRM-07072022.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-007 Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 116	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	116	0	116
Annual IC Time Burden (Hours)	182	-21	203
Annual IC Cost Burden (Dollars)	59,740	0	59,740

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.