Information Collection

Application for Provisional Unlawful Presence Waiver

IC 200866 under ICR 201712-1615-004 · OMB 1615-0123.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0123 can be found here:

Documents and Forms

Document Name Document Type
I601A-INS-83C-12042017.pdf Instruction
I-601A Application for Provisional Unlawful Presence Waiver I601A-FRM-OMBReview-EA-06272016.pdf www.uscis.gov/i-601a Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Provisional Unlawful Presence Waiver	Agency IC Tracking Number:	I-601A

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.7(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			I601A-INS-83C-12042017.pdf		Yes	No	Printable Only
Form	I-601A	Application for Provisional Unlawful Presence Waiver	I601A-FRM-OMBReview-EA-06272016.pdf	https://www.uscis.gov/i-601a	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 52,918	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	52,918	52,918
Annual IC Time Burden (Hours)	79,377	79,377
Annual IC Cost Burden (Dollars)	2,698,306	2,698,306

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.