Information Collection

Application for Employment Authorization

IC 12072 under ICR 199906-1115-004 · OMB 1115-0163.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Application for Employment Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-765				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,244,722	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,244,722	244,722	1,000,000
Annual IC Time Burden (Hours)	4,251,970	0	4,251,970
Annual IC Cost Burden (Dollars)	124,472,000	0	124,472,000

Documents for IC

Title	Document	Date Uploaded

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