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

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-191 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Form	Modified	Available
Form I-191 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Form	Modified	Repair queued
I-191-013-REV-FeeRuleFinal_Supporting Statement 20230926.docx	Supporting Statement A	Uploaded 2024-01-26	Repair queued
I191-013-INS-TOC-FeeRule-OPSReview-FR-12202023.docx	Supplementary Document	Uploaded 2024-01-26	Repair queued
SORN 018 DHS_USCIS IBBC 20180731.pdf	Supplementary Document	Uploaded 2020-11-02	Repair queued
SORN 007 Benefits Info System 20191010.pdf	Supplementary Document	Uploaded 2020-11-02	Repair queued
SORN 001 AFileIndexNFTS 2017 09 18.pdf	Supplementary Document	Uploaded 2020-11-02	Repair queued
PIA-016(a) Computer Linked Application Information Management System (CLAIMS 3) and Associated Systems.pdf	Supplementary Document	Uploaded 2016-07-26	Repair queued
Reference Citation.docx	Supplementary Document	Uploaded 2020-07-28	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
20264	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Instruction	Modified
20264	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Form	Modified	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act
20264	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Form	Modified

ICR Details

OMB Control No: 1615-0016	ICR Reference No: 202401-1615-012
Status: Active	Previous ICR Reference No: 202306-1615-006
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-191
Title: Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/19/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/08/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	12/31/2026
Responses	118	0	118
Time Burden (Hours)	141	0	163
Cost Burden (Dollars)	60,770	0	60,770

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Abstract: The information collected on this form is used by U.S. Citizenship and Immigration Services (USCIS) to determine whether the applicant is eligible for a discretionary relief under former section 212(c) of the Immigration and Nationality Act.

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Authorizing Statute(s): US Code: 8 USC 1182 Name of Law: US Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC68	Final or interim final rulemaking	89 FR 6194	01/31/2024

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	I-191	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act

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ICR Summary of Burden

table that charts list of burden

	Total Approved	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	118	118	0	0	0	0
Annual Time Burden (Hours)	141	163	0	-22	0	0
Annual Cost Burden (Dollars)	60,770	60,770	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: Changing Forms

Short Statement: This information collection has been revised to reflect changes proposed by the Fee Rule. USCIS has consolidated filing fee information from individual form instructions into the Form G-1055, Fee Schedule. These changes include removing instructional information about: filing fees, biometric services fees, processing information, payment methods, electronic funds transfers, fee waivers, and premium processing. There is a decrease in the annual estimated hour burden to respondents, due to the removal of fee related content in instructions and consolidation and reformatting of fee related language in the Form G-1055, Fee Schedule. There is no change to the annual estimated cost burden to respondents for this information collection as a result of the proposed rulemaking.

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Annual Cost to Federal Government: $109,740

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: 02/08/2024

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