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⚠️ Notice: This information collection may be referencing outdated material.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
Form I-765 Application for Employment Authorization Form
I765-INS-IER+SSA-06292017.pdf Instruction
I765-INS-WIP-SS-01192017.pdf Instruction
I-765 Application for Employment Authorization Document I765-FRM-IER+SSA-06292017.pdf Form
I-765 Application for Employment Authorization Document I765-FRM-WIP-SS-01192017.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Employment Authorization	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 274a.13 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-765	Application for Employment Authorization Document	I765-FRM-IER+SSA-06292017.pdf	Yes	No	Fillable Printable
Instruction			I765-INS-IER+SSA-06292017.pdf	Yes	No	Printable Only
Form	I-765	Application for Employment Authorization Document	I765-FRM-WIP-SS-01192017.pdf	Yes	No	Fillable Fileable
Instruction			I765-INS-WIP-SS-01192017.pdf	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-007 Benefits Information System, September 29, 2008	FR Citation: 73 FR 56596

Number of Respondents: 2,139,523	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	2,139,523	2,139,523
Annual IC Time Burden (Hours)	7,317,169	7,317,169
Annual IC Cost Burden (Dollars)	629,019,762	629,019,762

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.