Application for Employment Authorization

ICR 201702-1615-005

OMB: 1615-0040

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Form
Modified
Justification for No Material/Nonsubstantive Change
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2016-11-21
Supplementary Document
2017-02-15
Supplementary Document
2016-11-21
Supplementary Document
2016-11-21
Supplementary Document
2016-11-21
Supplementary Document
2016-11-21
Supporting Statement A
2017-02-15
Supplementary Document
2017-02-15
Supplementary Document
2017-02-15
IC Document Collections
IC ID
Document
Title
Status
225726
New
203680
Unchanged
203678 Modified
203677
Modified
20321 Modified
ICR Details
1615-0040 201702-1615-005
Historical Active 201701-1615-002
DHS/USCIS I-765, I-765WS
Application for Employment Authorization
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/13/2017
Retrieve Notice of Action (NOA) 02/17/2017
USCIS may continue to use the previously approved instruments through July 16, 2017.
  Inventory as of this Action Requested Previously Approved
02/28/2018 02/28/2018 02/28/2018
5,334,113 0 4,934,113
9,019,179 0 8,985,859
650,414,992 0 650,414,992

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

US Code: 8 USC 1153 Name of Law: Immigration Nationality Act
  
None

1615-AC04 Final or interim final rulemaking 82 FR 5238 01/17/2017

No

  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 5,334,113 4,934,113 0 400,000 0 0
Annual Time Burden (Hours) 9,019,179 8,985,859 0 33,320 0 0
Annual Cost Burden (Dollars) 650,414,992 650,414,992 0 0 0 0
Yes
Miscellaneous Actions
No
USCIS will transfer burden from SSA’s OMB 0960-0066 (Form SS-5) for the 400,000 qualified respondents seeking SSA enumeration with Form I-765. The estimated 400,000 respondents seeking SSA enumeration are estimated to spend an additional 5 minutes reading the instructions and responding to the six SSA enumeration questions on the form, which is a 33,320-hour increase in annual burden hours to this collection.

$911,635,125
No
No
No
No
No
Uncollected
Heather Young 202 272-1673 [email protected]

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
02/17/2017


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