Form I-246 - Application For A Stay Of Deportation Or Removal Page 2

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DEPARTMENT OF HOMELAND SECURITY
U.S. Immigration and Customs Enforcement
APPLICATION FOR A STAY OF DEPORTATION OR REMOVAL
PRIVACY NOTICE
Authority: The collection of this information is authorized by 8 U.S.C. § 1231 and 8 CFR § 241.6.
Purpose: The information requested is being collected to enable U.S. Immigration and Customs Enforcement (ICE) to
determine your eligibility under the Immigration and Nationality Act for a stay of deportation or removal from the United States.
Agency Disclosure of Information: For United States Citizens, Lawful Permanent Residents, or individuals whose records
are covered by the Judicial Redress Act of 2015 (5 U.S.C. § 552a note), your information may be disclosed in accordance with
the Privacy Act of 1974, 5 U.S.C. § 552a(b), including pursuant to the routine uses published in the DHS/ICE-011 Criminal
Arrest Records and Immigration Enforcement Records (CARIER) and DHS/USCIS-ICE-CBP-001 Alien File (A-File), Index, and
National File Tracking Systems of Records Notices (SORNs), which can be viewed at
For all others, as appropriate under United States law and DHS policy, the information you provide may be shared internally
within the U.S. Department of Homeland Security (DHS), as well as federal, state, local, tribal, territorial, and foreign law
enforcement; other government agencies; and other parties for collection, enforcement, investigatory, litigation, or other
purposes.
Providing Information to DHS: Furnishing this information is voluntary. However, requests for stays of deportation or removal
will not be considered unless this form is completed.
PUBLIC REPORTING BURDEN
U.S. Immigration and Customs Enforcement is collecting this information as a part of its agency mission under the Department
of Homeland Security. The estimated average time to review the instructions, search existing data sources, gather and
maintain the data needed and completing and reviewing this collection of information is 30 minutes (0.50 hours) per response.
Responses to this collection of information are voluntary for anyone ordered deported or removed from the United States. An
agency may not conduct or sponsor, and a person is not required to respond to, an information collection unless it displays a
currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to:
Office of the Chief Information Officer/Forms Management Officer
U.S. Immigration and Customs Enforcement 801 I Street,
NW STOP 5800
Washington, DC 20536-5800
(Do not mail your completed application to this address.)
NOTICE - A pending application does not preclude the execution of a final order of deportation or removal. The Field
Office Director may at his or her discretion revoke the approval of this application and execute the order of removal at
a date and time of his or her choosing. No advance notice is required for the execution of a final order of removal.
Additionally, provision of false information could result in the denial of your application.
ICE Form I-246 (10/17)
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