Information Collection

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

IC 20264 under ICR 201911-1615-006 · OMB 1615-0016.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0016 can be found here:

Documents and Forms

Document Name Document Type
I191-INS-2019FeeRule-10302019.pdf Instruction
I-191 Application for Relief under Former Section 212(c) of th Form I-191.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	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 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			I191-INS-2019FeeRule-10302019.pdf		Yes	No	Printable Only
Form	I-191	Application for Relief under Former Section 212(c) of the Immigration and Nationality Act	Form I-191.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-007 Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 240	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	240	240
Annual IC Time Burden (Hours)	360	360
Annual IC Cost Burden (Dollars)	30,300	30,300

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.