OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

STATEMENT IN SUPPORT OF APPLICATION FOR WAIVER OF EXCLUDABILITY UNDER SECTIONS 212(A)(1) AND (3) OF IMMIGRATION AND NATIONALITY ACT

ICR 198603-0920-001 · OMB 0920-0006 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110486 STATEMENT IN SUPPORT OF APPLICATION FOR WAIVER OF EXCLUDABILITY UNDER SECTIONS 212(A)(1) AND (3) OF IMMIGRATION AND NATIONALITY ACT Form Migrated
ICR Details
0920-0006 198603-0920-001
Historical Active 198503-0920-004
HHS/CDC
STATEMENT IN SUPPORT OF APPLICATION FOR WAIVER OF EXCLUDABILITY UNDER SECTIONS 212(A)(1) AND (3) OF IMMIGRATION AND NATIONALITY ACT
Revision of a currently approved collection   No
Regular
Approved without change 05/21/1986
Retrieve Notice of Action (NOA) 03/31/1986
  Inventory as of this Action Requested Previously Approved
05/31/1989 05/31/1989 05/31/1986
900 0 850
83 0 75
0 0 0
ALIENS WH ARE MENTALLY RETARDED OR WHO HAVE HAD ONE OR MORE ATTACKS OF INSANITY ARE ELIGIBLE TO APPLY FOR WAIVER OF EXCLUDABILITY UNDER SECTION 212(A) (1) AND (3), IMMIGRATION AND NATIONALITY ACT. IF ACCEPTED, THE APPLICANT'S SPONSOR MUST LOCATE A MEDICAL FACILITY OR SPECIALIST IN THE ACT. IF ACCEPTED, THE APPLICANT'S SPONSOR MUST LOCATE A MEDICAL FACILITY OR SPECIALIST IN THE U.S. THAT AGREES TO FOLLOW THE APPLICANT
None
None
No
1
IC Title Form No. Form Name
STATEMENT IN SUPPORT OF APPLICATION FOR WAIVER OF EXCLUDABILITY UNDER SECTIONS 212(A)(1) AND (3) OF IMMIGRATION AND NATIONALITY ACT CDC 4.422.1, 4.422-2, 4.422-4, 4.422-5
  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 900 850 0 0 50 0
Annual Time Burden (Hours) 83 75 0 0 8 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/31/1986