Application to Register Permanent Residence or Adjust Status

Forms and Documents

Document Name	Status
I485-INS-TOCUpdate-SIT-06072013.docx Supplementary Document	2013-06-07
I485-FRM-TOC-30Day-03302012.doc Supplementary Document	2013-05-21
I485-INS-TOCUpdate-SIT-01162013.doc Supplementary Document	2013-01-22
Form I-485 Supporting Statement 2013-4-1 (c).doc Supporting Statement A	2013-06-19
Reference Citation - Public Law 106-429.doc Supplementary Document	2012-09-28
I485-INS-TOC-30day-09282012.doc Supplementary Document	2012-09-28
SORN.doc Supplementary Document	2012-09-27
PIA.pdf Supplementary Document	2012-09-27
Reference Citation - PUBLIC LAW 105.doc Supplementary Document	2012-09-27
Reference Citations I-485.doc Supplementary Document	2012-09-27
Published 30-Day Notice - 2012-9-27.docx Supplementary Document	2012-09-27
Published 60-Day Notice - 2012-7-25.docx Supplementary Document	2012-09-27

IC Document Collections

IC ID	Document Title	Status
43925	Application to Register Permanent Residence or Adjust Status Instruction	Modified

ICR Details

OMB Control No: 1615-0023	ICR Reference No: 201209-1615-007
Status: Historical Active	Previous ICR Reference No: 201011-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No:
Title: Application to Register Permanent Residence or Adjust Status
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/20/2013
	Date Received in OIRA: 11/01/2012
Terms of Clearance: Approved for only two years due to lack of GPEA compliance. This form can be completed but not submitted electronically.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2015	36 Months From Approved	06/30/2013
Responses	580,133	0	526,000
Time Burden (Hours)	3,657,863	0	3,101,289
Cost Burden (Dollars)	0	0	529,377,840

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Abstract: The information on Form I-485 will be used to request and determine eligibility for adjustment of permanent residence status. Supplement A is used to adjust status under section 245(i) of the Immigration and Nationality Act (Act). Supplement E provides evidentiary requirements for T and U applicants to submit to adjust status.

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Authorizing Statute(s): US Code: 8 USC 1255 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 43608	07/25/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 59409	09/27/2012
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Application to Register Permanent Residence or Adjust Status	I-485 Supplement A, I-485	Adjustment of Status Under Section 245(i) ,   Application to Register Permanent Residence or Adjust Status

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ICR Summary of Burden

	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	580,133	526,000	0	0	54,133	0
Annual Time Burden (Hours)	3,657,863	3,101,289	0	0	556,574	0
Annual Cost Burden (Dollars)	0	529,377,840	0	0	-529,377,840	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: For the form I-485, there is an increase of annual hour burden from 3,069,450 to 3,625,831, a total increase of 556,381, due to an increase of the agency's estimation of the number of respondents for the form. For the I-485A, there is an increase of annual hour burden from 839 to 840, a total of 1 hour, due to a rounding error that occurred at the last submission. For the I-485C, there is an increase in the annual hour burden of 386 hours due to the agency's consolidation of the burden from OMB Control Number 1615-0024, where the I-485C was previously approved for use, into OMB Control Number 1615-0023. Please note that there is a decrease from the total previously reported in 1615-0024 (1,000 hours) due to a revision in the agency's estimate of the number of respondents for this form. There is no change to the estimated annual hour burden for the I-485E Supplement.

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Annual Cost to Federal Government: $624,630,310

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/01/2012

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