Application for Employment Authorization

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-765WS I-765 Worksheet	Form and Instruction	Unchanged	Available
Form I-765 Application for Employment Authorization	Form	Modified	Available
I-765-SupportingStatement-Fee_Rule_NPRM.docx	Supporting Statement A	Uploaded 2020-02-07	Available
I765-INS-TOC-2019FeeRule-10082019.docx	Supplementary Document	Uploaded 2020-02-07	Available
SORN 010 Asy&PreScreen 2015 11 30.html	Supplementary Document	Uploaded 2018-02-09	Available
SORN 007 Benefits Info Sys 2016 10 19.pdf	Supplementary Document	Uploaded 2018-02-09	Available
SORN 001 AFileIndexNFTS 2017 09 18.pdf	Supplementary Document	Uploaded 2018-02-09	Available
privacy-pia-061-uscis-benefitrequestintakeprocess-march15,2016.pdf	Supplementary Document	Uploaded 2018-02-09	Available
privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf	Supplementary Document	Uploaded 2018-02-09	Available
privacy-pia-027(c)-uscis-asylum-july21,2017.pdf	Supplementary Document	Uploaded 2018-02-09	Available
privacy-pia-016a-uscis-claims3-march25,2016.pdf	Supplementary Document	Uploaded 2018-02-09	Available
privacy-pia-003b-uscis-iddmp-feb28,2017.pdf	Supplementary Document	Uploaded 2018-02-09	Available
SSA SORN 60-058 79FR8780_13FEB2014.pdf	Supplementary Document	Uploaded 2017-02-15	Available
SSA SORN 60-058 78FR40542_5JUL2013.pdf	Supplementary Document	Uploaded 2017-02-15	Available
SSA SORN 60-058 75FR82121_29DEC2010.pdf	Supplementary Document	Uploaded 2017-02-15	Available
Reference citations_FRM I765.doc	Supplementary Document	Uploaded 2018-02-09	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
203680	Passport-Style Photographs		Unchanged
203678	I-765 Worksheet	Form and Instruction	Unchanged
203677	Biometric Processing		Unchanged
20321	Application for Employment Authorization	Form	Modified

ICR Details

OMB Control No: 1615-0040	ICR Reference No: 202002-1615-002
Status: Historical Inactive	Previous ICR Reference No: 201802-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-765, I-765WS
Title: Application for Employment Authorization
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 06/01/2020
	Date Received in OIRA: 04/17/2020
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved	06/30/2020
Responses	4,276,299	0	4,276,299
Time Burden (Hours)	10,550,549	0	10,550,549
Cost Burden (Dollars)	367,575,520	0	367,575,520

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

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Authorizing Statute(s): US Code: 8 USC 1153 Name of Law: Immigration Nationality Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC18	Proposed rulemaking	84 FR 62280	11/14/2019

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 62280	11/14/2019
Did the Agency receive public comments on this ICR? Yes

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

table that charts list of burden

IC Title	Form No.	Form Name
Application for Employment Authorization	I-765	Application for Employment Authorization Document
Biometric Processing
I-765 Worksheet	I-765WS	Form I-765 Worksheet
Passport-Style Photographs

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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:

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Annual Cost to Federal Government: $1,027,040,000

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? No

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Common Form ICR:  No

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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: 04/17/2020

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