Application for Provisional Unlawful Presence Waiver

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0123 can be found here:

Documents and Forms

Document Name Document Type
Form I-601a Application for Provisional Unlawful Presence Waiver Form
Form I-601a Application for Provisional Unlawful Presence Waiver Form
I601A-012-INS-FeeRule-OMBReview-NPRM-07122022.pdf www.uscis.gov/i-601a Instruction
I601A-012-INS-FeeRule-OMBReview-NPRM-07122022.pdf www.uscis.gov/i-601a Instruction
I-601a Application for Provisional Unlawful Presence Waiver I601A-012-FRM-FeeRule-OMBReview-NPRM-07122022.pdf www.uscis.gov/i-601a Form
I-601a Application for Provisional Unlawful Presence Waiver I601A-012-FRM-FeeRule-OMBReview-NPRM-07122022.pdf www.uscis.gov/i-601a Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Provisional Unlawful Presence Waiver	Agency IC Tracking Number:	I-601A

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.7(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-601a	Application for Provisional Unlawful Presence Waiver	I601A-012-FRM-FeeRule-OMBReview-NPRM-07122022.pdf	https://www.uscis.gov/i-601a	Yes	No	Fillable Printable
Instruction			I601A-012-INS-FeeRule-OMBReview-NPRM-07122022.pdf	https://www.uscis.gov/i-601a	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 63,000	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	63,000	0	63,000
Annual IC Time Burden (Hours)	82,971	-11,529	94,500
Annual IC Cost Burden (Dollars)	3,212,390	0	3,212,390

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.