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 202306-1615-006 · OMB 1615-0016 · Received in OIRA

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-191-012 REV Supporting Statement 20230627.docx Supporting Statement A Uploaded 2023-06-27 Repair queued
I-191-012 REV 60-Day Public Comment Response Matrix 20230413.pdf Supplementary Document Uploaded 2023-06-27 Repair queued
SORN 018 DHS_USCIS IBBC 20180731.pdf Supplementary Document Uploaded 2020-11-02 Repair queued
I-191-012 30-Day 88 FR 29686 2023-09690.pdf Supplementary Document Uploaded 2023-06-23 Repair queued
I-191-012 60FRN 2023-00004 88 FR 1087.pdf Supplementary Document Uploaded 2023-06-23 Missing upstream
I191-012-INS-TOC-REV-OMBReview-06272023.docx Supplementary Document Uploaded 2023-06-27 Repair queued
I191-012-FRM-TOC-REV-OMBReview-06272023.docx Supplementary Document Uploaded 2023-06-27 Missing upstream
SORN 007 Benefits Info System 20191010.pdf Supplementary Document Uploaded 2020-11-02 Repair queued
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document Uploaded 2020-11-02 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.docx Supplementary Document Uploaded 2020-07-28 Repair queued
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 202306-1615-006
Received in OIRA 202011-1615-005
DHS/USCIS I-191
Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)
Revision of a currently approved collection   No
Regular 07/24/2023
  Requested Previously Approved
36 Months From Approved 11/30/2023
118 116
163 203
60,770 59,740
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
  88 FR 1087 01/06/2023
88 FR 29686 05/08/2023
Yes
  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 118 116 0 0 2 0
Annual Time Burden (Hours) 163 203 0 0 -40 0
Annual Cost Burden (Dollars) 60,770 59,740 0 0 1,030 0
No
No
With this Revision, there was a decrease in the total estimated annual hour burden. This result stems from a decrease in the annual hour burden due to the update including new condensed signature language in the Form and Instructions. The estimated annual cost burden increased due to an increase in the agency estimated number of respondents. There are no program changes.
$109,740
No
    Yes
    Yes
No
No
No
No
Samantha Stout 704 762-0352 [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.
07/24/2023