View Information Collection (IC)

View Information Collection (IC)

IC Title:	Application for Provisional Unlawful Presence Waiver	Agency IC Tracking Number:	I-601A

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 103.7(b)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-601A	Application for Provisional Unlawful Presence Waiver	I601A-FRM-OMBReview-EA-06272016.pdf	https://www.uscis.gov/i-601a	Yes	No	Fillable Printable
Instruction			I601A-INS-OMBReview-EA-06272016.pdf	https://www.uscis.gov/i-601a	Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 52,918	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	52,918	0	17,918	0	0	35,000
Annual IC Time Burden (Hours)	79,377	0	26,877	0	0	52,500
Annual IC Cost Burden (Dollars)	2,698,306	0	1,179,306	0	0	1,519,000

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.