Information Collection

Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermanent Residents

IC 256568 under ICR 202611-1125-001 · OMB 1125-0001.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form EOIR-42B Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermanent Residents Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermanent Residents	Form and Instruction
EOIR-42B Application for Cancellation of Removal and Adjustment o EOIR-42B_rev04-26_expTBD_DRAFT_v6.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

EOIR-42B

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 1240

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	EOIR-42B				Yes	Yes	Fillable Fileable Signable

Line of Business: Litigation and Judicial Activities

Subfunction: Judicial Hearing

Privacy Act System of Records

Title: EOIR-001Adjudication and Appeal Records of the Office of the Chief Immigration Judge and Board of Immigration Appeals

FR Citation: 90 FR 42265

Number of Respondents: 13,787

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 64 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	13,787	-1,970	15,757
Annual IC Time Burden (Hours)	80,378	-11,485	91,863
Annual IC Cost Burden (Dollars)	29,504,180	-2,135,876	31,640,056

Documents for IC

table that charts IC Documents
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.

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