Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485

ICR 200203-1115-001

OMB: 1115-0053

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1115-0053 200203-1115-001
Historical Active 200107-1115-001
DOJ/INS
Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485
Extension without change of a currently approved collection   No
Regular
Approved with change 05/09/2002
Retrieve Notice of Action (NOA) 03/01/2002
Approved. INS agrees to make the following changes: (1) Revise the discussion of fees on the I-485 and I-485 A instructions and the form to clarify the costs of the I-485, I-485A, and fingerprint fees (2) I-485A Instructions: Change "Who may file to adjust to that of LPR under section 245i?" to "Who may use Supplement A to adjust to that of LPR under section 245i?" (3) I-485 Instructions: Under section "What documentation demonstrates your physical presence on December 21, 2000?", change all dates to read "December 21, 2000" (4) I-485 Form, Part B, Item 2: Revise to read "And I fall into one or more of these categories"
  Inventory as of this Action Requested Previously Approved
05/31/2005 05/31/2005 10/31/2004
635,500 0 635,500
2,781,321 0 2,781,321
193,256,000 0 182,238,000

This information will be used to request and determine eligibility for adjustment of permanent residence status. This application allows an applicant to determine whether he or she must file under section 245 and 249 of the INA, and it allows the Service to collect information needed for reports to be made to different government committees.

None
None


No

1
IC Title Form No. Form Name
Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485 I-485, SUPP.A-I-485

  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 635,500 635,500 0 0 0 0
Annual Time Burden (Hours) 2,781,321 2,781,321 0 0 0 0
Annual Cost Burden (Dollars) 193,256,000 182,238,000 0 11,018,000 0 0
No
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.
03/01/2002


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