[NCEZID] Statement in Support of Application for Waiver of Inadmissibility Under Immigration and Nationality Act

OMB 0920-0006

OMB 0920-0006

The goal of this collection is to provide CDC with adequate information to fulfill its responsibilities with regard to the processing of applications for waivers of inadmissibility on health related grounds, specifically mental health disorders with associated harmful behaviors. The information collected is required under U.S. immigration law and regulation. This revision removes the follow-up information collection.

The latest form for [NCEZID] Statement in Support of Application for Waiver of Inadmissibility Under Immigration and Nationality Act expires 2023-12-31 and can be found here.

All Historical Document Collections
Approved without change
Reinstatement with change of a previously approved collection 2024-01-19
Approved without change
Revision of a currently approved collection 2020-06-23
Approved without change
Extension without change of a currently approved collection 2017-04-27
Approved without change
Extension without change of a currently approved collection 2014-05-22
Approved without change
Revision of a currently approved collection 2011-07-25
Approved without change
Extension without change of a currently approved collection 2008-10-17
Approved without change
Extension without change of a currently approved collection 2005-12-20
Approved without change
Revision of a currently approved collection 2002-03-22
Approved without change
Reinstatement without change of a previously approved collection 1998-09-30
Approved without change
Reinstatement without change of a previously approved collection 1995-09-25
Approved without change
Revision of a currently approved collection 1992-04-10
Approved without change
Revision of a currently approved collection 1989-02-22
Approved without change
Revision of a currently approved collection 1986-03-31
Approved with change
No material or nonsubstantive change to a currently approved collection 1985-03-04
Approved without change
Reinstatement with change of a previously approved collection 1984-04-09
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-05-30
Approved without change
Revision of a currently approved collection 1981-04-07
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-02-27
Approved with change
No material or nonsubstantive change to a currently approved collection 1980-12-10
Approved with change
No material or nonsubstantive change to a currently approved collection 1978-02-28
Approved without change
Extension without change of a currently approved collection 1975-04-28
OMB Details

Application for Waiver of Inadmissibility Under Immigration and Nationality Act (Form 4-422-1)

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 4 422-1STATEMENTS IN SUPPORT OF APPLICATION FOR WAIVER OF INADMISSIBILITYFillable PrintableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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