Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization

Inter-Agency Record of Request - A, G or NATO Dependent Employment Authorization or Change/Adjustment To/From A, G, NATO Status

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0027 can be found here:

Documents and Forms

Document Name Document Type
Form I-566 Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization Form
I566-INS-LimRev-OMBReview-05242018.pdf Instruction
I-566 Inter-Agency Record of Individual Requesting Change/Adju I566-FRM-LimRev-OMBReview-05242018.pdf Form

Information Collection (IC) Details

IC Title:	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent 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 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-566	Inter-Agency Record of Individual Requesting Change/Adjustment to or From A or G Status; or Requesting A, G. or NATO Dependent Employment Authorization	I566-FRM-LimRev-OMBReview-05242018.pdf		Yes	No	Fillable Printable
Instruction			I566-INS-LimRev-OMBReview-05242018.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 5,800	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	5,800	5,800
Annual IC Time Burden (Hours)	8,236	8,236
Annual IC Cost Burden (Dollars)	710,500	710,500

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.