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 202308-1615-002 · 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-690-011 REV Supporting Statement 20230807.docx Supporting Statement A Uploaded 2023-08-07 Repair queued
I690-011-Sup1-FRM-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document Uploaded 2023-08-07 Available
I690-011-INS-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document Uploaded 2023-08-07 Repair queued
I690-011-FRM-TOC-LimitedREV-OMBReview-07062023.docx Supplementary Document Uploaded 2023-08-07 Repair queued
SORN DHS-USCIS 018 IBBC 07312018 83 FR 36950.pdf Supplementary Document Uploaded 2023-08-07 Repair queued
I-690-011 30DayFRN 88 FR 36326_2023-11719.pdf Supplementary Document Uploaded 2023-08-07 Repair queued
I-690-011 60-Day FRN 88 FR 14632_2023-04795.pdf Supplementary Document Uploaded 2023-08-07 Repair queued
SORN DHS-USCIS 007 Benefits Info Sys 10102019 84 FR 54622.pdf Supplementary Document Uploaded 2023-08-07 Repair queued
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 202308-1615-002
Received in OIRA 202012-1615-002
DHS/USCIS I-690
Application for Waiver of Grounds of Inadmissibility Under Sections 245A or 210 of the Immigration and Nationality Act
Revision of a currently approved collection   No
Regular 08/17/2023
  Requested Previously Approved
36 Months From Approved 12/31/2023
41 41
108 112
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
  88 FR 14632 03/09/2023
88 FR 36326 06/02/2023
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 41 41 0 0 0 0
Annual Time Burden (Hours) 108 112 0 -4 0 0
Annual Cost Burden (Dollars) 4,523 4,523 0 0 0 0
No
Yes
Miscellaneous Actions
With this Revision, there was a decrease in the total estimated annual hour burden. This result stems from a decrease in the average burden per response due to the update including new condensed signature language in the Form and Instructions. There are no other program changes in this revision. There are no changes to the annual cost burden to respondents for this information collection.
$21,450
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.
08/17/2023