Request for Fee Waiver (Paper)

Request for Fee Waiver

Documents and Forms

Document Name Document Type
Form I-912 Request for Fee Waiver (Paper) Form
I912-INS-OMBApproved-04012024-1-508.pdf Instruction
I-912 Request for Fee Waiver (Paper) I912-FRM-OMBApproved-04012024-Functionality.pdf Form

Information Collection (IC) Details

IC Title:	Request for Fee Waiver (Paper)	Agency IC Tracking Number:	I-912

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-912	Request for Fee Waiver (Paper)	I912-FRM-OMBApproved-04012024-Functionality.pdf		Yes	No	Fillable Printable
Instruction			I912-INS-OMBApproved-04012024-1-508.pdf		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: 528,258	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	528,258	-65,742	594,000
Annual IC Time Burden (Hours)	578,443	-71,987	650,430
Annual IC Cost Burden (Dollars)	1,980,968	-246,532	2,227,500

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.