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Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act;
Application for Status as a Temporary Resident Under Section 245A of the Immigration and Nationality Act
OMB: 1615-0090
IC ID: 20425
OMB.report
DHS/USCIS
OMB 1615-0090
ICR 201208-1615-006
IC 20425
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0090 can be found here:
2015-01-28 - Extension without change of a currently approved collection
Documents and Forms
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
Information Collection (IC) Details
View Information Collection (IC)
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:
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
Federal Enterprise Architecture Business Reference Module
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 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
30
0
0
-20
0
50
Annual IC Time Burden (Hours)
35
0
0
-23
0
58
Annual IC Cost Burden (Dollars)
0
0
0
-60,750
0
60,750
Documents for IC
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.