Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act

Forms and Documents

Document Name	Status
Form I-690 Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act Form	Modified
I-690-011 REV Supporting Statement 20230807.docx Supporting Statement A	2023-08-07
I690-011-Sup1-FRM-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document	2023-08-07
I690-011-INS-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document	2023-08-07
I690-011-FRM-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document	2023-08-07
SORN DHS-USCIS 018 IBBC 07312018 83 FR 36950.pdf Supplementary Document	2023-08-07
I-690-011 30DayFRN 88 FR 36326_2023-11719.pdf Supplementary Document	2023-08-07
I-690-011 60-Day FRN 88 FR 14632_2023-04795.pdf Supplementary Document	2023-08-07
SORN DHS-USCIS 007 Benefits Info Sys 10102019 84 FR 54622.pdf Supplementary Document	2023-08-07
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document	2018-11-27
PIA-016a CLAIMS 3 and Associated Systems_25MAR2016.pdf Supplementary Document	2016-10-03
I-690 Reference Citation.doc Supplementary Document	2016-09-29

IC Document Collections

IC ID	Document Title	Status
214079	Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations) Other-Supplement	Modified
20301	Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act Form	Modified

ICR Details

OMB Control No: 1615-0032	ICR Reference No: 202308-1615-002
Status: Received in OIRA	Previous ICR Reference No: 202012-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-690
Title: Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/17/2023

	Requested	Previously Approved
Expiration Date	36 Months From Approved	12/31/2023
Responses	41	41
Time Burden (Hours)	108	112
Cost Burden (Dollars)	4,523	4,523

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Abstract: An individual seeking to adjust status to that of U.S. Permanent Resident under Sections 210 and 245A of the Immigration and Nationality Act (INA or the Act) may request a waiver of a ground of inadmissibility of one or more of the medical grounds stated under Section 212(a) of the Act, by completing and submitting an Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act (Form I-690). The information provided through this form allows U.S. Citizenship and Immigration Services (USCIS) to determine an applicant's eligibility for a waiver of health-related ground of inadmissibility.

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Authorizing Statute(s): US Code: 8 USC 1160 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 14632	03/09/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 36326	06/02/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations)
Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act	I-690	Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act

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ICR Summary of Burden

	Total Request	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	41	41	0	0	0	0
Annual Time Burden (Hours)	108	112	0	-4	0	0
Annual Cost Burden (Dollars)	4,523	4,523	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: With this Revision, there was a decrease in the total estimated annual hour burden. This result stems from a decrease in the average burden per response due to the update including new condensed signature language in the Form and Instructions. There are no other program changes in this revision. There are no changes to the annual cost burden to respondents for this information collection.

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Annual Cost to Federal Government: $21,450

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/17/2023

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