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Supporting Statement A

ICR 202611-1125-001 · OMB 1125-0001 · Object 174646000.

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Supporting Statement A
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SUPPORTING STATEMENT
OMB Control No. 1125-0001
Application for Cancellation of Removal for Certain Permanent Residents (EOIR42A) and Application for Cancellation of Removal and Adjustment of Status for
Certain Nonpermanent Residents (EOIR-42B)
Part A. Justification
1. Necessity of Information - Effective April 1, 1997, an individual who is
removable from the United States may, pursuant to section 240A of the
Immigration and Nationality Act (Act) (8 U.S.C. § 1229b(a)), request that the
Attorney General cancel their removal. To be granted such relief from removal,
the applicant must prove that they meet all of the statutory prerequisites for such
relief and that they are entitled to a favorable exercise of discretion. There are
two application forms available for cancellation of removal: Form EOIR-42A,
Application for Cancellation of Removal for Certain Permanent Residents; and
Form EOIR-42B, Application for Cancellation of Removal and Adjustment of
Status for Certain Nonpermanent Residents. In turn, Form EOIR-42B may be
used for two separate forms of relief: (1) cancellation of removal for
nonpermanent residents; and (2) a form of relief called Special Rule for Battered
Spouse or Child (“special rule cancellation”) as provided per the Violence
Against Women Act.

Each applicant for cancellation of removal will file one application based on the
individual facts and circumstances in their case. The form contains information,
such as identifying characteristics, residence and employment history, and family

information, which is necessary for the Attorney General, through his delegate, to
decide whether to permit the applicant to remain in the United States.

EOIR has made several non-substantive changes to the forms. These changes
include updating the electronic filing fee information and formatting text to
improve organization, clarity, and readability. EOIR also revised the Advice to
Applicants, Instructions, and corresponding questions of the form to mirror as
closely as possible the text of the Immigration and Nationality Act where the
Advice, Instructions, and form to accurately reiterate legal standards set forth by
the Act.

EOIR has made some substantive changes to the forms to remove unnecessary
collections of information. On both forms, EOIR modified Part 3, Question 21 to
account for various visa types that may have been used by the applicant to enter
the United States. The question was generalized so as not to exclude other visa
types. Within Part 7 on both forms (question 57 for the EOIR-42A, and question
62 for the EOIR-42B), EOIR removed form fields collecting information about
the applicant that is irrelevant to the immigration judge’s determination for these
particular types of immigration relief. Finally, on both forms, EOIR modified
Part 9 to collect the applicant’s signature and affirmation at the time the form is
filed (as opposed to after filing and during a subsequent hearing) to ensure the
agency receives the most accurate and true information at the outset of the
adjudication process for such applications. To make changes to their application

after initial filing, applicants may make subsequent changes on the record during
an immigration hearing and/or sworn document submitted for the Record of
Proceeding (ROP), consistent with EOIR’s rules of procedure and Policy Manual.

2. Needs and Uses - The applications for cancellation of removal (Form EOIR42A or Form EOIR-42B) are filed and considered in the context of an
immigration proceeding. Accordingly, information contained in the application is
considered only to the extent necessary to process the application. The
application is accepted into the official record of the immigration proceeding and
is considered by an Immigration Judge or, if the case is on appeal, the Board of
Immigration Appeals, in determining whether to grant or deny the applicant’s
request for cancellation of removal.

3. Use of Technology - The use of this form provides the most efficient means for
collecting and processing the required data. The forms are available as fillable
pdfs on EOIR’s website. An individual may either type the requested information
into the fillable form online and then print the completed form for submission to
the agency, or an individual may print the blank form in its entirety and complete
it by typing or printing legibly. Applicant’s or their practitioner of record may
also complete the form and file it electronically through the agency’s electronic
case filing system, EOIR’s Courts & Appeals System (ECAS), available at
https://www.justice.gov/eoir/ECAS.

4. Efforts to Identify Duplication - The only method for applying for cancellation
of removal in immigration proceedings is for the applicant to file the Form EOIR42A or Form EOIR-42B, as applicable. A review of EOIR’s forms revealed no
duplication of effort, and there is no other similar information currently available
which can be used for this purpose.

5. Impact on Small Businesses - This collection does not have an impact on small
businesses or other small entities.

6. Consequences of Less Frequent Collection - Failure to collect this information
would deprive the individual of establishing their eligibility for cancellation of
removal.

7. Special Circumstances Influencing Collection - None of the eight special
circumstances identified in OMB instruction number 7 apply to this collection.
The Immigration Judge presiding over the applicant’s immigration proceedings
has the discretion to set the period of time the applicant is given to respond to this
collection. However, an applicant may request from the Immigration Judge an
extension of time in which to file the collection and may appeal the decision of
the Immigration Judge to the Board of Immigration Appeals.

8. Federal Register Publication and Consultation - A 60-day notice covering this
collection was published in the Federal Register. See 90 FR 53897 (Aug. 20,

2026). EOIR received one non-substantive comment identifying a 1-hour
discrepancy between the total annual burden hours reported for both forms and
the actual sum of the annual burden hours calculated for the EOIR-42A and
EOIR-42B. EOIR determined the discrepancy was due to rounding but that the
annual burden hours calculated separately for each form was reported accurately.
A 30-day notice covering this collection was published in the Federal Register.
See 91 FR 67334 (Oct. 26, 2026). If any additional comments are received, they
will be considered and incorporated where appropriate.

9. Payment or Gift to Claimants - EOIR does not provide any payment or gifts to
parties in immigration proceedings.

10. Assurance of Confidentiality - The original application is maintained by EOIR
in the official record of proceedings (ROP), along with all other documents filed
in the proceeding. EOIR staff members and adjudicators who process, review, and
adjudicate the case may access the form in the ROP. EOIR protects the
confidentiality of the contents of the ROP, including the contents of the Form
EOIR-42A and Form EOIR-42B included therein, to the extent permitted by law.
EOIR releases information in accordance with the Freedom of Information Act,
the Privacy Act (including applicable System of Records Notices (SORNs)), and
other laws that may impose confidentiality restrictions on immigration-related
information. See, e.g., 8 U.S.C. § 1367; 8 C.F.R. § 1208.6.

11. Justification for Sensitive Questions - Any question soliciting sensitive
information is necessary for the Immigration Judge to consider an applicant’s
statutory and discretionary eligibility for cancellation of removal and to determine
the applicant’s legal right to remain in the United States. See number 10
immediately above.

12. Estimate of Hour Burden
EOIR-42A, Cancellation of Removal for Certain Permanent Residents
a. Number of Respondents

1,457

b. Number of Responses per Respondent

1 each

c. Total Annual responses

1,457

d. Hours per response
e. Total annual hourly reporting burden

5 hours, 50 minutes
8,492

The total annual hourly reporting burden is derived by multiplying the number of
respondents (1,457) by the frequency of response (1) by the number of hours per
response (5 hours, 50 minutes or 5.83 hours):
1,457 respondents x 1 response per respondent x 5.83 hours per response = 8,492
burden hours.

EOIR-42B, Cancellation of Removal and Adjustment of Status for Certain
Nonpermanent Residents
a. Number of Respondents

13,787

b. Number of Responses per Respondent

1 each

c. Total Annual responses

13,787

d. Hours per response
e. Total annual hourly reporting burden

5 hours, 50 minutes
80,380

The total annual hourly reporting burden is derived by multiplying the number of
respondents (13,787) by the frequency of response (1) by the number of hours per
response (5 hours, 50 minutes or 5.83 hours):
13,787 respondents x 1 response per respondent x 5.83 hours per response = 80,380
burden hours.

13. Estimate of Cost Burden – The total maximum public cost burden estimate is
$1,762,956 for the EOIR-42A and $29,509,956 for the EOIR-42B. There are no
capital or start-up costs associated with this information collection. EOIR
estimates there is a maximum printing cost of $0.70 per form for the EOIR-42A
($0.10 per page x 7 pages) and $0.80 per form for the EOIR-42B ($0.10 per page
x 8 pages). EOIR estimates there is a maximum cost of $5 to mail the form using
a U.S. Postal Service priority flat rate envelope. However, printing and postage
costs may be avoided by completing and filing the form electronically. As of June
2026, there is a fee of $710 to file the Form EOIR-42A and a fee of $1,640 to file
the Form EOIR-42B. These filing fees are likely to increase each fiscal year. If a
practitioner is retained to assist with completing the form, EOIR estimates that the
maximum labor cost to complete the form is $494.62 per form (derived by

multiplying the $84.84 per hour average wage for attorneys as estimated by the
Bureau of Labor Statistics by the 5.83 hours estimated to complete the form). For
those individuals who do not retain a practitioner to prepare the form, there is an
estimated cost of $10 per hour for a respondent’s own time and materials to
complete the form. Therefore, the total maximum public cost burden for each
form is estimated as follows:
Cost Item or Activity

EOIR-42A

EOIR-42B

Filing Fee

$710 per form

$1,640 per form

Printing

$0.70 per form

$0.80 per form

Mailing

$5 per form

$5 per form

Practitioner Assistance

$494.62 per form

$494.62 per form

TOTAL PER REPONSE

$1,210 per form

$2,140 per form

EOIR-42A: $1,210 maximum cost per form x 1,457 total annual responses =
$1,762,956 maximum public cost burden estimate
EOIR-42B: $2,140 maximum cost per form x 13,787 total annual responses =
$29,509,956 maximum public cost burden estimate

14. Estimated Cost to the Federal Government - EOIR estimates that the average
annual government cost for printing, distributing, stocking, processing and
maintaining the Forms EOIR-42A and EOIR-42B is $55,340. Approximately
5,197 forms will be printed by agency staff each year to maintain in paper case
files. At $0.10 per page, average annual printing cost to the government is $163

for the EOIR-42A and $3,971 for the EOIR-42B, for a grant total of $4,134.
EOIR estimates the total average annual cost for processing is $38,110 and for
overhead is $13,096. Combining the total printing, processing, and overhead
estimates, there is an estimated average annual government cost of $55,340 for
both forms combined.

15. Reasons for Change in Burden - The difference in burden is due to several
factors.

First, for both forms, there was an observed decrease in the average annual
number of forms received by the agency. This decrease contributed to a decrease
in the public cost burden estimate for the EOIR-42B but did not appear to impact
the public cost burden estimate for the EOIR-42A. This decrease also contributed
to an overall decrease in the cost to the federal government; because fewer forms
were filed with the agency, EOIR spent less time and labor printing, distributing,
stocking, processing, and maintaining the forms.

Second, for both forms, there was an increase in the filing fee as well as the
average annual wage for attorneys as estimated by the Bureau of Labor Statistics.
The increase in filing fee and practitioner wage contributed to an overall increase
in the public cost burden estimate for the EOIR-42A but did not appear to
contribute to any public cost burden estimate change for the EOIR-42B.

Third, to estimate the maximum public cost burden, EOIR included the cost to
print and mail the form, which was not previously included in the public cost
burden estimate. This contributed to an increase in the total maximum public cost
burden estimate for the EOIR-42A but did not appear to impact such estimate for
the EOIR-42B.

Fourth, for both forms, there is a decrease in the average estimated cost to the
government due to improved accuracy in the printing cost estimate to the
government. For estimated printing costs, EOIR only considered the number of
forms associated with paper case files and excluded the forms associated with
electronic case files. This is a more accurate measure of the average annual
number of forms that would need to be printed for purposes of maintaining the
form in the official paper case file and therefore serves as a more accurate basis
for estimating printing costs to the government.

16. Plans for Publication - EOIR does not intend to employ the use of statistics or
the publication thereof for this collection of information.

17. Display of Expiration Date - EOIR will display the expiration date for OMB
approval of the information collection.

18. Exceptions to the Certification Statement- EOIR does not request an exception
to the certification of this information collection.

Section B. Collection of Information Employing Statistical Methods
This collection does not employ statistical methods.

PAPERWORK CERTIFICATION

In submitting this request for Office of Management and Budget (OMB) approval, I
certify that the requirements of the Privacy Act and OMB directives have been complied
with, including paperwork regulations, any applicable statistical standards or directives,
and any other information policy directives promulgated under 5 C.F.R. § 1320.

JUSTINE
FUGA

Digitally signed by JUSTINE
FUGA
Date: 2026.11.04 11:25:35
-05'00'

Justine Fuga
Associate General Counsel
Office of the General Counsel
Executive Office for Immigration Review