Application to Register Permanent Residence or Adjust Status

Forms and Documents

Document Name	Status
Form I-485 Application to Register Permanent Residence or Adjust Status Form	Modified
Form I-485 Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j) Form	Modified
Form I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Form	Modified
I-485-Supporting Statement-Fee Rule-83C_11142019.docx Supporting Statement A	2019-11-15
I-485 83C.pdf Justification for No Material/Nonsubstantive Change	2019-11-04
I485SuppJ-INS-TOC-2019FeeRule-10302019.docx Supplementary Document	2019-11-01
I485SuppA-INS-TOC-2019FeeRule-10302019.docx Supplementary Document	2019-11-01
I485-INS-TOC-2019FeeRule-10302019.docx Supplementary Document	2019-11-01
I485-FRM-TOC-2019FeeRule-10302019.docx Supplementary Document	2019-11-01
DHS USCIS PIA 016a 20160325.pdf Supplementary Document	2019-07-29
DHS USCIS PIA 003 20170105.pdf Supplementary Document	2019-07-29
DHS USCIS 018 SORN 20180731.pdf Supplementary Document	2019-07-29
DHS USCIS 007 SORN 20161019.pdf Supplementary Document	2019-07-29
DHS USCIS 001 SORN 20170918.pdf Supplementary Document	2019-07-29

IC Document Collections

IC ID	Document Title	Status
43925	Application to Register Permanent Residence or Adjust Status Form	Modified
224886	Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j) Form	Modified
222858	Biometrics Processing	Unchanged
218034	Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Form	Modified

ICR Details

OMB Control No: 1615-0023	ICR Reference No: 201910-1615-017
Status: Historical Inactive	Previous ICR Reference No: 201907-1615-008
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-485
Title: Application to Register Permanent Residence or Adjust Status
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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 12/21/2019
	Date Received in OIRA: 11/27/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2021	10/31/2021	10/31/2021
Responses	752,384	0	752,384
Time Burden (Hours)	2,885,243	0	2,885,243
Cost Burden (Dollars)	131,116,552	0	131,116,552

---

Abstract: The information on Form I-485 will be used to request and determine eligibility for adjustment of permanent residence status. Supplement A is used to adjust status under section 245(i) of the Immigration and Nationality Act (Act).

---

Authorizing Statute(s): US Code: 8 USC 1255 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AA22	Final or interim final rulemaking	84 FR 41292	08/14/2019

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)	I-485	Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)
Application to Register Permanent Residence or Adjust Status	I-485	Application to Register Permanent Residence or Adjust Status
Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	I-485 Supplement A	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Biometrics Processing

---

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There is a 1,469,971 hours decrease in the annual hour burden. This is a result of the calculation of the five-year average for the population of the respondents subject to public charge adjudication required under the Public Charge rulemaking, which was partially offset by an increase in the time burden for the I-485 and Supplement A. There is a $66,794,448 annual cost burden decrease. The decrease in cost burden is due to the decrease in the calculations for estimated number of respondents that resulting in program changes based on the Public Charge rulemaking.

---

Annual Cost to Federal Government: $110,541,480

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

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

---

Common Form ICR:  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:

(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: 11/27/2019

---