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

Documents and Forms

Document Name Document Type
I690-012-Sup1-FRM-FeeRule-OPSReview-LimitedREV+FR-12222023.pdf Other-Supplement
I690-012-Sup1-FRM-FeeRule-OPSReview-LimitedREV+FR-12222023.pdf Other-Supplement

Information Collection (IC) Details

IC Title:	Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 8 CFR 245a (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Supplement			I690-012-Sup1-FRM-FeeRule-OPSReview-LimitedREV+FR-12222023.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

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

Number of Respondents: 11	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	11	11
Annual IC Time Burden (Hours)	22	22
Annual IC Cost Burden (Dollars)	0	0

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.