Information Collection

Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act;

IC 20425 under ICR 201208-1615-006 · OMB 1615-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0090 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Form I-687 Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act;	Form
I687-INS-01182013.pdf www.uscis.gov/i-687	Instruction
Form I-687 Application for Status as a Temporary Resident Under Sec I687-FRM-01182013.pdf www.uscis.gov/i-687	Form
Form I-687 WS NWIRP Class Member Worksheet I687-WS-01182013.pdf www.uscis.gov/i-687	Form

IC Title:

Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act;

Agency IC Tracking Number:

Form I-687

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 245A (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-687	Application for Status as a Temporary Resident Under Section 245A of the INA	I687-FRM-01182013.pdf	http://www.uscis.gov/i-687	Yes	No	Fillable Printable
Instruction			I687-INS-01182013.pdf	http://www.uscis.gov/i-687	Yes	No	Printable Only
Form	Form I-687 WS	NWIRP Class Member Worksheet	I687-WS-01182013.pdf	http://www.uscis.gov/i-687	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 30

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	30	-20	50
Annual IC Time Burden (Hours)	35	-23	58
Annual IC Cost Burden (Dollars)	0	-60,750	60,750

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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