OMB control number

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

OMB 0920-0006 · HHS/CDC.

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. CDC uses the information collected in 0920-0006 to review waiver applications for prospective immigrants and refugees to the United States. CDC assists DHS/USCIS in determining whether or not a prospective immigrant or refugee with a Class A health designation, specifically those mental health disorders with associated harmful behavior, may be admitted into the United States. Non-Substantive Change Request is submitted to make minor format changes including email and mailing addresses. There is no anticipated change to the approved burden hours.

The latest form for [NCEZID] Statement in Support of Application for Waiver of Inadmissibility Under Immigration and Nationality Act expires 2027-03-31 and can be found here.

All Historical Document Collections
No material or nonsubstantive change to a currently approved collection 2025-07-23
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