The component is getting added back in because you have "auto-resolve
dependencies" enabled and other components need the one you removed. You can
disable auto-resolve in Tools->Options and select the "Dependency Check" tab.
It is your decision whether you want to disable it or not. If it is
disabled and there are unresolved dependencies when you build, you will get
errors rather than the tool automatically adding the components back in.
To determine if there are dependencies, click the "Check Dependencies"
button on the toolbar or press F5.
The three components we had to disable/remove are:
USB Boot Mass Storage Device
USB Boot 2.0
USB NT Hardware Detect