Information Collection

Waiver of Rights, Privileges, Exemptions and Immunities

IC 20284 under ICR 201704-1615-004 · OMB 1615-0025.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0025 can be found here:

Documents and Forms

Document Name Document Type
Form I-508 Waiver of Rights, Privileges, Exemptions and Immunities Form
I508-INS-OMBReview-05232017.pdf www.uscis.gov/i-508 Instruction
I-508 Waiver of Rights, Privileges, Exemptions and Immunities I-508 Form.pdf www.uscis.gov/i-508 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Waiver of Rights, Privileges, Exemptions and Immunities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 223 8 CFR 247 8 CFR 245

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-508	Waiver of Rights, Privileges, Exemptions and Immunities	I-508 Form.pdf	https://www.uscis.gov/i-508	Yes	No	Fillable Printable
Instruction			I508-INS-OMBReview-05232017.pdf	https://www.uscis.gov/i-508	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-001 â Alien File, Index, and National File Tracking System of Records	FR Citation: 78 FR 69864

Number of Respondents: 1,728	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,728	0	1,728
Annual IC Time Burden (Hours)	1,296	726	570
Annual IC Cost Burden (Dollars)	13,824	7,344	6,480

Documents for IC

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.