OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Waiver of Inadmissibility Under Immigration and Nationality Act

ICR 201703-0920-013 · 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
6595 Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1) Unchanged
186935 Follow-up of Immigrants or Refugees with Class A Physical or Mental Condition Unchanged
ICR Details
0920-0006 201703-0920-013
Historical Active 201405-0920-005
HHS/CDC 0920-0006
Application for Waiver of Inadmissibility Under Immigration and Nationality Act
Extension without change of a currently approved collection   No
Regular
Approved without change 06/01/2017
Retrieve Notice of Action (NOA) 04/27/2017
  Inventory as of this Action Requested Previously Approved
06/30/2020 36 Months From Approved 08/31/2017
400 0 400
100 0 100
16,000 0 16,000
The goal of this collection is to provide CDC with adequate information to fulfill its responsibilities with regard to the processing of applications for waivers of inadmissibility on health related grounds, specifically mental health disorders with associated harmful behaviors. The information collected is required under U.S. immigration law and regulation.
US Code: 8 USC 1182 Name of Law: Aliens and Nationality
   US Code: 42 USC 34 Name of Law: Public Health Service Medical Exam of Aliens
   PL: Pub.L. 212 - 7 8 Name of Law: CFR
  
None
Not associated with rulemaking
Other Documents for OIRA Review
  82 FR 8527 01/26/2017
82 FR 18647 04/20/2017
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 400 400 0 0 0 0
Annual Time Burden (Hours) 100 100 0 0 0 0
Annual Cost Burden (Dollars) 16,000 16,000 0 0 0 0
No
No
$124,634
Yes Part B of Supporting Statement
No
No
No
No
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.
04/27/2017