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 201911-1615-006 · OMB 1615-0016 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
I-191-Supporting Statement-Fee Rule-83C.docx Supporting Statement A Uploaded 2019-11-27 Available
I-191 83C.pdf Justification for No Material/Nonsubstantive Change Uploaded 2019-11-04 Repair queued
I191-INS-TOC-2019FeeRule-10302019.docx Supplementary Document Uploaded 2019-11-04 Repair queued
SORN_78FR69864_21NOV2013.pdf Supplementary Document Uploaded 2016-07-26 Available
SORN_73FR56596_29SEP2008.pdf Supplementary Document Uploaded 2016-07-26 Available
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 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
20264 Application for Relief under Former Section 212(c) of the Immigration and Nationality Act Instruction Modified
ICR Details
1615-0016 201911-1615-006
Historical Inactive 201808-1615-001
DHS/USCIS I-191
Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)
No material or nonsubstantive change to a currently approved collection   No
Regular
Withdrawn and continue 12/21/2019
Retrieve Notice of Action (NOA) 11/27/2019
  Inventory as of this Action Requested Previously Approved
02/28/2021 02/28/2021 02/28/2021
240 0 240
360 0 360
30,300 0 30,300
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
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
Megan Barker 202 272-9135 [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.
11/27/2019