I-765 e-Filing

Application for Employment Authorization

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0040 can be found here:

Documents and Forms

Document Name Document Type
e-Filing I-765 (January 2015).docx Other-screenshots e-filing

Information Collection (IC) Details

IC Title:	I-765 e-Filing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 274

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-screenshots e-filing			e-Filing I-765 (January 2015).docx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: United States Citizenship and Immigration Services Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 103,891	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 6 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	103,891	103,891
Annual IC Time Burden (Hours)	329,334	329,334
Annual IC Cost Burden (Dollars)	30,543,954	30,543,954

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.