Waiver of Rights, Privileges, Exemptions and Immunities

Forms and Documents

Document Name	Status
Form I-508F Waiver of Rights, Privileges, Exemptions and Immunities Form	Modified
I-508 and I-508F PUBLISHED 60-DAY NOTICE.pdf Supplementary Document	2011-09-08
I-508 and I-508F Supporting Statement 8-17-11.doc Supporting Statement A	2011-09-08
SORN.doc Supplementary Document	2011-08-25
PIA.pdf Supplementary Document	2011-08-25
PTA revised, USCIS, I-508 and I-508F, 20110811, PRIV final.pdf Supplementary Document	2011-08-25
I-508 and I-508F PUBLISHED 30-DAY NOTICE.pdf Supplementary Document	2011-08-25
Treaty Between U.S. and France.doc Supplementary Document	2008-06-26
Reference Citations.doc Supplementary Document	2008-06-26

IC Document Collections

IC ID	Document Title	Status
20284	Waiver of Rights, Privileges, Exemptions and Immunities Form	Modified

ICR Details

OMB Control No: 1615-0025	ICR Reference No: 201108-1615-009
Status: Historical Active	Previous ICR Reference No: 200909-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No:
Title: Waiver of Rights, Privileges, Exemptions and Immunities
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 01/12/2012
	Date Received in OIRA: 09/09/2011
Terms of Clearance: USCIS amended I-508 to include the burden estimate for I-508F. The agency also correct minor formatting issues with the form. Per the previous Terms of Clearance, USCIS plans to add this collection to its ELIS e-filing system in the spring of 2013. Within the ELIS implementation plan, this collection is part of Transformation Initiative Release B. During the next approval cycle, the agency shall verify to OMB that this collection can be filed electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2015	36 Months From Approved	01/31/2012
Responses	2,000	0	2,000
Time Burden (Hours)	166	0	166
Cost Burden (Dollars)	0	0	0

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Abstract: This information will be used by the USCIS to determine eligibility of an alien applicant to retain the status of alien lawfully admitted to the United States for permanent residence.

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Authorizing Statute(s): US Code: 8 USC 1257 Name of Law: INA
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 31972	06/02/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53144	08/25/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Waiver of Rights, Privileges, Exemptions and Immunities	I-508F, I-508	Waiver of Rights, Privileges, Exemptions and Immunities ,   Waiver of Rights, Privileges, Exemptions and Immunities

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ICR Summary of Burden

	Total Approved	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	2,000	2,000	0	0	0	0
Annual Time Burden (Hours)	166	166	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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:

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Annual Cost to Federal Government: $80,324

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

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

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? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/09/2011

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