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Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
OMB: 1125-0001
IC ID: 12667
OMB.report
DOJ/EOIR
OMB 1125-0001
ICR 201603-1125-002
IC 12667
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1125-0001 can be found here:
2022-11-03 - Revision of a currently approved collection
2022-01-17 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form EOIR 42A
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
Form
42A Advice to Applicant Instructions.pdf
Other-Advice to Applicants
42A Form Instructions.pdf
Instruction
42B Advice to Applicant Instructions.pdf
Other-Advice to Applicant
42B Form Instructions.pdf
Instruction
EOIR 42A Application for Cancellation of Removal for Certain Perm
42A Form.pdf
Form
EOIR 42B Application for Cancellation of Removal and Adjustment o
42B Form.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Cancellation of Removal (42a) for Certain Permanent Residents; (42b) and Adjustment of Status for Certain Nonpermanent Residents
Agency IC Tracking Number:
EOIR-42AB
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
8 CFR 1240.20
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
EOIR 42A
Application for Cancellation of Removal for Certain Permanent Residents
42A Form.pdf
Yes
No
Fillable Printable
Other-Advice to Applicants
42A Advice to Applicant Instructions.pdf
Yes
No
Fillable Printable
Instruction
42A Form Instructions.pdf
Yes
No
Fillable Printable
Form
EOIR 42B
Application for Cancellation of Removal and Adjustment of Status for Certain Nonpermenant Residents
42B Form.pdf
Yes
No
Fillable Printable
Other-Advice to Applicant
42B Advice to Applicant Instructions.pdf
Yes
No
Fillable Printable
Instruction
42B Form Instructions.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Litigation and Judicial Activities
Subfunction:
Judicial Hearing
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
25,654
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
25,654
0
0
-9,161
0
34,815
Annual IC Time Burden (Hours)
148,793
0
0
-54,178
0
202,971
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.