TOC Form

Table of Changes for Form I-765

Application for Employment Authorization

OMB RIN 1615-0040

Date: 03/06/2012

Location Page 1	Current Text	Proposed Revision and Location	IED Comments 3/7/12 2D Barcode Form
Question 3 To add an “in care of” option for the address; this change allows room on line for both a c/o name and address	3. Address in the United States (Number and Street) (Apt. Number) _______________________	In care of Name _______________________ Street Number and Name _______________________	Yes, addressed.
Question 3 Have Apt. autoprint on the form if the alien types in an apartment number.	3. Address in the United States (Number and Street) (Apt. Number)	Apt. XXX	Yes, addressed.
Question 6 For the fillable PDF, have date of birth print lower on the form so it is readable when printed; this change eliminates overlap and form is readable when printed.	6. Date of Birth (mm/dd/yyyy) ________________________	Date of Birth (mm/dd/yyyy) ________________________	Yes, addressed.
Question 10 Separate Alien Registration Number and I-94 Number into two separate lines; this change creates more space for response.	10 Alien Registration Number (A-Number or I-94 Number(if any)	Alien Registration Number (A-Number) ________________________ I-94 Number(if any) _________________________	Yes, addressed.
Question 11 Keep all [three parts] of number 11 together in either the first or second column; this change creates more space for response.	11. Have you ever before applied for employment authorization from USCIS? □ Yes (If “Yes” complete below) □ No _______________________________	Have you ever before applied for employment authorization from USCIS? □ Yes _______________________ □ No	Yes, addressed.
Question 11 To clarify the type of information requested under “Date(s)”	Date of last entry in the U.S. (mm/dd/yyyy) _________________________	Date of last lawfully admitted into the U.S. (mm/dd/yyyy) __________________________	No change was made to this language on the 2D form.
Question 11 To adjust the fillable date field on Question 11 to print lower on the line; this change will make date more readable.	Date of last entry in the U.S. _______________________	Date of last entry in the U.S. _______________________	Yes, addressed.
Signature On fillable form, place a small down arrow next to “signature”, “telephone number” and “date”; this change prevents students from signing and completing other info above the line.	Block 16. Signature Telephone Number Date _______________________________	Signature of Applicant ________________________ Date of Signature (mm/dd/yyyy) __________________________ Daytime Phone Number _________________	Yes, addressed.
To change the notation on the electronic version of Form I-765 for the (c)(25) eligibility criteria to 'T Dependents'	I. T-2, T-3, or T-4 Nonimmigrant- (c)(25)	(C)(25) T Dependents	This comment appears to apply to e-Filing (not to the paper form). However, please note that “(c)(25) T-2, T-3, or T-4 Nonimmigrant” is a value on the drop-down list in the 2D form. The description matches the language in the current Form Instructions.
Mark Section "I am applying for:..."  as Question 1; highlight so it's not overlooked	I am applying for: □ Permission… □ Replacement… □ Renewal…	Part 1. Information About You. I am applying for: □ Permission… □ Replacement… □ Renewal…	Yes, addressed.
Standardize the language of fillable form I-765 in its descriptions of “Items,” “Questions,” “Blocks,” AND/OR “Boxes.”	3. Town or City State/Country (Zip Code) 5. Town or City State/Province Country	(#) Country of Citizenship ________________________ Country of Birth ________________________	Yes, addressed.
Item 14-15 Provide examples clarifying the type of information requested questions.	Manner of Last Entry (Visitor, Student, etc.) Current Immigration Status (Visitor, Student, etc.)	USCIS believes the examples provided (Visitor, Student, etc.) are sufficient.	On the 2D form, “Manner of Last Entry” is now “Immigration Status at Last Entry into U.S.” The examples provided for both questions now reflect sample values in the drop-down lists that have been added to the fillable form for these fields.