Application for Waiver of Grounds of Inadmissability

Forms and Documents

Document Name	Status
Form I-690 Application for Waiver of Grounds of Inadmissibility Form	Modified
I690-TOC-2016FeeRule-83C-09282016.docx Supplementary Document	2016-10-21
FRM I690 83C Fee Rule SupportingStatement_21OCT2016.doc Supporting Statement A	2016-10-24
SORN BIS 73 FR 56596_29SEP2008.pdf Supplementary Document	2016-09-29
SORN A File 78 FR 69864_21NOV2013.pdf Supplementary Document	2016-09-29
PIA-016a CLAIMS 3 and Associated Systems_25MAR2016.pdf Supplementary Document	2016-10-03
I-690 Reference Citation.doc Supplementary Document	2016-09-29
FRM I690 60DayFRN_1JUL2016.pdf Supplementary Document	2016-09-29
FRM I690 30dayFRN_19SEP2016.pdf Supplementary Document	2016-09-29

IC Document Collections

IC ID	Document Title	Status
214079	Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations) Other-Supplement	Modified
20301	Application for Waiver of Grounds of Inadmissibility Form	Modified

ICR Details

OMB Control No: 1615-0032	ICR Reference No: 201609-1615-007
Status: Historical Active	Previous ICR Reference No: 201503-1615-011
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-690
Title: Application for Waiver of Grounds of Inadmissability
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: 12/19/2016
	Date Received in OIRA: 10/25/2016
Terms of Clearance: USCIS may continue to use the previously approved form through December 22, 2016. Approved for two years only due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2018	36 Months From Approved	03/31/2017
Responses	33	0	33
Time Burden (Hours)	88	0	88
Cost Burden (Dollars)	3,317	0	3,234

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Abstract: An individual seeking to adjust status to that of U.S. Permanent Resident under Sections 210 and 245A of the Immigration and Nationality Act (INA or the Act) may request a waiver of a ground of inadmissibility of one or more of the medical grounds stated under Section 212(a) of the Act, by completing and submitting an Application for Waiver of Grounds of Inadmissibility (Form I-690). The information provided through this form allows U.S. Citizenship and Immigration Services (USCIS) to determine an applicant's eligibility for a waiver of health-related ground of inadmissibility.

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Authorizing Statute(s): US Code: 8 USC 1160 Name of Law: U.S. Code
  

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:
	81 FR 43221	07/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 64191	09/19/2016
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Applicants With a Class A Tuberculosis Condition (As Defined by HHS Regulations)
Application for Waiver of Grounds of Inadmissibility	I-690	Application for Waiver of Grounds of Inadmissibility

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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	33	33	0	0	0	0
Annual Time Burden (Hours)	88	88	0	0	0	0
Annual Cost Burden (Dollars)	3,317	3,234	0	0	83	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: $15,730

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: 10/25/2016

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