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Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Waiver of Inadmissibility Under Immigration and Nationality Act

ICR 200810-0920-002 · OMB 0920-0006 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
0920-0006_ATT 3_60d FRN.pdf Supplementary Document Uploaded 2008-10-03 Repair queued
0920-0006_2008 Supporting Statement.doc Supporting Statement A Uploaded 2008-09-23 Available
IC Document Collections
IC IDCollectionTypeStatusForm
6595 Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1) Other-WORD Modified
186936 Follow-up of Immigrants or Refugees with Human Immunodeficiency Virus (HIV) Infection After Resettlement Other-WORD New
186935 Follow-up of Immigrants or Refugees with Class A Physical or Mental Condition Other-WORD New
ICR Details
0920-0006 200810-0920-002
Historical Active 200512-0920-002
HHS/CDC
Application for Waiver of Inadmissibility Under Immigration and Nationality Act
Extension without change of a currently approved collection   No
Regular
Approved without change 12/11/2008
Retrieve Notice of Action (NOA) 10/17/2008
In FY2007, DOS reported that its consular officers found 746 immigrants ineligible for admission to the United States under the communicable disease grounds of INA 212(a)(1)(A)(i); 327 of those immigrants overcame the initial finding. Based on the FY2007 figures, an annual number of response estimate of 600 and the time burden associated with those responses may be an underestimation. Revisions to these estimates may need to be made in the future.
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 02/28/2009
600 0 600
167 0 167
16,000 0 16,000
Section 212(a)(1) of the Immigration and Nationality Act states, that aliens with specific health related conditions are ineligible for admission into the United States. The Attorney General may waive application of this inadmissibility on health-related grounds if an application for waiver is filed and approved by the consular office considering the application for visa. CDC uses this application primarily to collect information to establish and maintain records of waiver applicants in order to notify the U.S. Citizenship and Immigration Services when terms, conditions and controls imposed by waiver are not met. CDC is requesting approval from OMB to collect this date for another 3 years.
US Code: 8 USC 212(a)(1) Name of Law: Immigration and Nationality Act
  
None
Not associated with rulemaking
  73 FR 47604 08/14/2008
73 FR 55845 09/26/2008
No
  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 600 600 0 0 0 0
Annual Time Burden (Hours) 167 167 0 0 0 0
Annual Cost Burden (Dollars) 16,000 16,000 0 0 0 0
Yes
Miscellaneous Actions
Yes
Changing Forms
This is a EXTENSION WITHOUT CHANGE OF A CURRENTLY APPROVED COLLECTION. There are no changes in burden in this information collection request.
$90,000
No
Yes
Uncollected
Uncollected
Uncollected
Uncollected
Thelma Sims 4046394771
  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.
10/17/2008