Application for Employment Authorization

ICR 199901-1115-004

OMB: 1115-0163

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
12071 Migrated
ICR Details
1115-0163 199901-1115-004
Historical Active 199707-1115-004
DOJ/INS
Application for Employment Authorization
Reinstatement without change of a previously approved collection   No
Emergency 02/05/1999
Approved without change 02/23/1999
Retrieve Notice of Action (NOA) 01/25/1999
Approved consistent with clarifications in INS memos of 2-1-99 and 2-22-99 and revised form attached. INS agrees to add words "if any" to the form where social security number is requested. The expiration of this collection was a violation of the Paperwork Reduction Act. DOJ/INS will ensure that future submissions for renewal are made in a timely manner and such violations are avoided.
  Inventory as of this Action Requested Previously Approved
08/31/1999 08/31/1999
1,000,000 0 0
4,251,970 0 0
124,472,000 0 0

The information will be used by the Service to determine eligibility for work authorization and for the issuance of the employment document.

None
None


No

1
IC Title Form No. Form Name
Application for Employment Authorization I-765

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,000,000 0 0 1,000,000 0 0
Annual Time Burden (Hours) 4,251,970 0 0 4,251,970 0 0
Annual Cost Burden (Dollars) 124,472,000 0 0 124,472,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/25/1999


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