Information Collection

Statements in Support of Application for Waiver of Inadmissibility under Section 212(a)(1)(A)(i) or 212 (a)(1)(A) (iii)(1) or (11)of Immigration and Nationality Act

IC 6594 under ICR 200203-0920-004 · OMB 0920-0006.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0006 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	Statements in Support of Application for Waiver of Inadmissibility under Section 212(a)(1)(A)(i) or 212 (a)(1)(A) (iii)(1) or (11)of Immigration and Nationality Act	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC-4.422-1	No	No
Form	CDC-4.422-1A	No	No
Form	CDC-4.422-1B	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	200	0	200
Annual IC Time Burden (Hours)	167	134	33
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.