I-765 Worksheet

Application for Employment Authorization

OMB: 1615-0040

IC ID: 203678

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

I-765 Worksheet
 
No Modified
 
Voluntary
 
8 CFR 274

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction I-765WS Form I-765 Worksheet I765WS-FRM-Comp-OMBReview-05222018.pdf Yes No Fillable Printable

Homeland Security Border and Transportation Security

Electronic Immigration System-3 Automated Background Functions, DHS/USCIS-016  76 FR 70735

41,912 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 41,912 0 0 -208,088 0 250,000
Annual IC Time Burden (Hours) 20,956 0 0 -104,044 0 125,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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