Application for Employment Authorization

Forms and Documents

Document Name	Status
Form I-765 Electronic Application for Employment Authorization (electronic) Form and Instruction	New
Form I-765WS Work Sheet Form	Unchanged
Form I-765 Application for Employment Authorization Form	Modified
Supporting Statement I-765 2016-4-21.docx Supporting Statement A	2016-04-22
I-765 83C Signed.pdf Justification for No Material/Nonsubstantive Change	2016-04-19

IC Document Collections

IC ID	Document Title	Status
221225	Application for Employment Authorization (electronic) Form and Instruction	New
203680	Passport-Style Photographs	Unchanged
203678	Work Sheet Form	Unchanged
203677	Biometric Processing	Unchanged
20321	Application for Employment Authorization Form	Modified

ICR Details

OMB Control No: 1615-0040	ICR Reference No: 201604-1615-005
Status: Historical Inactive	Previous ICR Reference No: 201602-1615-002
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-765, I-765WS
Title: Application for Employment Authorization
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 05/05/2016
	Date Received in OIRA: 04/29/2016
Terms of Clearance: DHS has withdrawn this request.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2018	02/28/2018	02/28/2018
Responses	4,463,032	0	4,463,032
Time Burden (Hours)	8,185,043	0	8,185,043
Cost Burden (Dollars)	602,380,864	0	602,380,864

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Abstract: USCIS will use the information collected to determine eligibility for work authorization and for the issuance of an employment authorization document.

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Authorizing Statute(s): US Code: 8 USC 1153 Name of Law: Immigration Nationality Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AB92	Final or interim final rulemaking	80 FR 11111	02/04/2015

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Application for Employment Authorization	I-765	Application for Employment Authorization Document
Biometric Processing
Work Sheet	I-765WS	I-765 Work Sheet
Passport-Style Photographs
Application for Employment Authorization (electronic)	I-765 Electronic	Application for Employment Authorization

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: The availability of filing Form I-765 electronically will result in a time burden savings for those respondents that choose to file that way. The current total annual hour burden approved for the collection is 8,185,043, and the estimated savings resulting from electronic filing is 25,614 hours.

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Annual Cost to Federal Government: $774,226,080

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: 04/29/2016

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