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

ICR 200508-1615-001

OMB: 1615-0023

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1615-0023 200508-1615-001
Historical Active 200303-1615-025
DHS/USCIS
Application to Register Permanent Residence or Adjust Status, and Supplement A to Form I-485
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 09/26/2005
Retrieve Notice of Action (NOA) 08/08/2005
  Inventory as of this Action Requested Previously Approved
09/30/2008 09/30/2008
473,028 0 0
2,171,256 0 0
152,291,000 0 0

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 USCIS 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, I-485-SUPPL.

  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 473,028 0 0 473,028 0 0
Annual Time Burden (Hours) 2,171,256 0 0 2,171,256 0 0
Annual Cost Burden (Dollars) 152,291,000 0 0 152,291,000 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.
08/08/2005


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