OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act

ICR 202012-1615-002 · OMB 1615-0032 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form I-690 Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act Form Modified Repair queued
I-690-008-60DayFRN_85 FR 52622-2020-18723.pdf Supplementary Document Uploaded 2021-03-22 Repair queued
I-690-008-60DayFRN_85 FR 52622-2020-18723.pdf Supplementary Document Uploaded 2021-03-22 Repair queued
PTA, USCIS - Form I-690, 20180824, PRIV Final.pdf Supplementary Document Uploaded 2020-12-01 Repair queued
I-690-008-Supporting Statement.docx Supporting Statement A Uploaded 2020-12-01 Repair queued
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document Uploaded 2018-11-27 Missing upstream
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document Uploaded 2018-11-27 Repair queued
PIA-016a CLAIMS 3 and Associated Systems_25MAR2016.pdf Supplementary Document Uploaded 2016-10-03 Repair queued
I-690 Reference Citation.doc Supplementary Document Uploaded 2016-09-29 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
214079 Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations) Other-Supplement Modified
20301 Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act Form Modified
ICR Details
1615-0032 202012-1615-002
Received in OIRA 202007-1615-052
DHS/USCIS I-690
Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act
Extension without change of a currently approved collection   No
Regular 03/30/2021
  Requested Previously Approved
36 Months From Approved 07/31/2021
41 41
112 112
4,523 4,523
An individual seeking to adjust status to that of U.S. Permanent Resident under Sections 210 and 245A of the Immigration and Nationality Act (INA or the Act) may request a waiver of a ground of inadmissibility of one or more of the medical grounds stated under Section 212(a) of the Act, by completing and submitting an Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act (Form I-690). The information provided through this form allows U.S. Citizenship and Immigration Services (USCIS) to determine an applicant's eligibility for a waiver of health-related ground of inadmissibility.
US Code: 8 USC 1160 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  85 FR 52622 08/26/2020
85 FR 74748 11/23/2020
No
  Total Request 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 41 41 0 0 0 0
Annual Time Burden (Hours) 112 112 0 0 0 0
Annual Cost Burden (Dollars) 4,523 4,523 0 0 0 0
No
No
$21,450
No
    Yes
    Yes
No
No
No
No
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.
03/30/2021