View Information Collection Request (ICR) Package

OMB Control No: 1615-0116	ICR Reference No: 202009-1615-073
Status: Historical Active	Previous ICR Reference No: 202009-1615-008
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-912
Title: Request for Fee Waiver
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/30/2020
	Date Received in OIRA: 09/23/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	09/30/2022	09/30/2022
Responses	116,960	0	116,960
Time Burden (Hours)	272,368	0	272,368
Cost Burden (Dollars)	438,600	0	438,600

Abstract: The collection of information on Form I-912 is necessary in order for U.S. Citizenship and Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application fee for certain immigration benefits.

Authorizing Statute(s): US Code: 8 USC 1103 Name of Law: United States Code

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC18	Final or interim final rulemaking	85 FR 46788	08/03/2020

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
8 CFR 103.7(d) Director's exception request
DACA-Related I-765 Fee Exemption Request
Request for Fee Waiver	I-912

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	116,960	116,960
Annual Time Burden (Hours)	272,368	272,368
Annual Cost Burden (Dollars)	438,600	438,600

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: In its discretion, USCIS has amended the reasons for which a fee waiver may be requested. USCIS is no longer accepting the receipt of means-tested benefits as a reason for requesting a fee waiver. USCIS will only consider fee waiver requests made on the basis of the applicant, petitioner, or requester with certain immigrant categories whose household income being at or below 125% of the Federal Poverty Guidelines or the applicant is impacted by a disaster declaration and who are not subject to the affidavit of support requirements under section 213A of the Act or is already a sponsored immigrant as defined in 8 CFR 213a.1 and not subject to the public charge inadmissibility ground under section 212(a)(4) of the Act, 8 U.S.C. 1182(a)(4). The I-912 Form and Instructions have been updated to reflect this change in USCIS’s fee waiver policy and regulation update.

Annual Cost to Federal Government: $4,686,166

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Melanie Frank 202 527-4488 melanie.r.frank2@uscis.dhs.gov

View ICR - OIRA Conclusion