I-212, CBP e-SAFE Filings

Application for Permission to Reapply for Admission into the United States after Deportation or Removal

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0018 can be found here:

Documents and Forms

Document Name Document Type
Form I-212 I-212, CBP e-SAFE Filings Form and Instruction
Form I-212 I-212, CBP e-SAFE Filings Form and Instruction
I-212 e-SAFE I-212_e-SAFE Screenshots-FINAL.docx Form and Instruction
I-212 e-SAFE I-212_e-SAFE Screenshots-FINAL.docx Form and Instruction

Information Collection (IC) Details

IC Title:	I-212, CBP e-SAFE Filings	Agency IC Tracking Number:	I-212

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212.2

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	I-212	e-SAFE	I-212_e-SAFE Screenshots-FINAL.docx		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/CBP-006 Automated Targeting System	FR Citation: 77 FR 30297

Number of Respondents: 1,200	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	1,200	0	1,200
Annual IC Time Burden (Hours)	2,180	-220	2,400
Annual IC Cost Burden (Dollars)	147,000	0	147,000

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.