Interagency Record Of Individual Requesting Change/adjustment To Or From A Or G Status Or Requesting A Or G Dependent Employment Authorization

INTERAGENCY RECORD OF INDIVIDUAL REQUESTING CHANGE/ADJUSTMENT TO OR FROM A OR G STATUS OR REQUESTING A OR G DEPENDENT EMPLOYMENT AUTHORIZATION

OMB: 1115-0090

IC ID: 119670

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INTERAGENCY RECORD OF INDIVIDUAL REQUESTING CHANGE/ADJUSTMENT TO OR FROM A OR G STATUS OR REQUESTING A OR G DEPENDENT EMPLOYMENT AUTHORIZATION
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form I-566 No No


    

3,000 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,000 0 0 0 0 3,000
Annual IC Time Burden (Hours) 750 0 0 0 0 750
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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