OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)

ICR 201808-1615-001 · OMB 1615-0016 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-191 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act Form Modified Repair queued
I-191 30-day 20180831 83 FR 44643.pdf Supplementary Document Uploaded 2018-09-04 Available
I-191 60-day 20180514.pdf Supplementary Document Uploaded 2018-08-06 Repair queued
I-191 SS DHS PRA 20180904.docx Supporting Statement A Uploaded 2018-09-04 Available
SORN_78FR69864_21NOV2013.pdf Supplementary Document Uploaded 2016-07-26 Repair queued
SORN_73FR56596_29SEP2008.pdf Supplementary Document Uploaded 2016-07-26 Repair queued
PIA-016(a) Computer Linked Application Information Management System (CLAIMS 3) and Associated Systems.pdf Supplementary Document Uploaded 2016-07-26 Repair queued
Reference Citation 2013-2-26.doc Supplementary Document Uploaded 2013-05-22 Available
IC Document Collections
IC IDCollectionTypeStatusForm
20264 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act Form Modified
ICR Details
1615-0016 201808-1615-001
Historical Active 201611-1615-006
DHS/USCIS I-191
Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)
Extension without change of a currently approved collection   No
Regular
Approved without change 02/13/2019
Retrieve Notice of Action (NOA) 09/26/2018
Approved for two years only for partial GPEA compliance.
  Inventory as of this Action Requested Previously Approved
02/28/2021 36 Months From Approved 02/28/2019
240 0 600
360 0 900
30,300 0 75,750
The information collected on this form is used by U.S. Citizenship and Immigration Services (USCIS) to determine whether the applicant is eligible for a discretionary relief under former section 212(c) of the Immigration and Nationality Act.
US Code: 8 USC 1182 Name of Law: US Code
  
None
Not associated with rulemaking
  83 FR 22286 05/14/2018
83 FR 44643 08/31/2018
Yes
  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 240 600 0 0 -360 0
Annual Time Burden (Hours) 360 900 0 0 -540 0
Annual Cost Burden (Dollars) 30,300 75,750 0 0 -45,450 0
No
No
The estimated hour burden for this collection of information has decreased as a result of the decrease in the estimated number of respondents from 600 to 240. The estimated cost burden for this collection of information has decreased as a result of the decrease in the estimated number of respondents 600 to 240. There are no changes to the form; the Privacy Notice in the Instructions was updated.
$223,200
No
    Yes
    Yes
No
No
No
Uncollected
Kerstin Jager 214 489-8022 [email protected]
  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.
09/26/2018