Information Collection

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

IC 20425 under ICR 201501-1615-005 · OMB 1615-0090.

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
Form I-687 Instructions.pdf www.uscis.gov/i-687	Instruction
Form I-687 Application for Status as a Temporary Resident Under Sec Form I-687.pdf www.uscis.gov/i-687	Form
Form I-687 NWIRP Class Member Worksheet Form I-687 Worksheet.pdf www.uscis.gov/i-687	Form and Instruction

IC Title:

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	Form I-687.pdf	www.uscis.gov/i-687	Yes	No	Fillable Printable
Instruction			Form I-687 Instructions.pdf	www.uscis.gov/i-687	Yes	No	Printable Only
Form and Instruction	Form I-687	NWIRP Class Member Worksheet	Form I-687 Worksheet.pdf	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	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	30	0	30
Annual IC Time Burden (Hours)	35	0	35
Annual IC Cost Burden (Dollars)	11,250	11,250	0

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.