View Information Collection Request (ICR) Package

OMB Control No: 1615-0116	ICR Reference No: 202102-1615-011
Status: Historical Active	Previous ICR Reference No: 202009-1615-073
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: 03/10/2021
	Date Received in OIRA: 03/10/2021
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	09/30/2022	09/30/2022
Responses	602,528	0	116,960
Time Burden (Hours)	704,958	0	272,368
Cost Burden (Dollars)	2,259,480	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
Non-form request for fee waiver
Request for Fee Waiver	I-912

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	602,528	116,960	485,568
Annual Time Burden (Hours)	704,958	272,368	432,590
Annual Cost Burden (Dollars)	2,259,480	438,600	1,820,880

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: There is an increase in the estimated annual hour burden for this collection of information as a result of the Public Charge Rescission. PRA actions subsequent to the Public Charge Final Rule were designed to restrict the number of respondents eligible to file a Form I-912, Fee Waiver Request. The decreases in the estimated number of respondents in those PRA actions caused a corresponding decrease in the estimated annual hour burden. With the Public Charge Rescission, the estimated number of respondents is increasing; therefore, the estimated annual hour burden is also increasing. There is an increase in the estimated annual cost burden to respondents as a result of the Public Charge Rescission. As indicated above, the estimated number of respondents has increased as a result of the rescission, which results in a corresponding increase in the estimated annual cost burden.

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: Kerstin Jager 214 489-8022 kerstin.a.jager@uscis.dhs.gov

View ICR - OIRA Conclusion