I-765 Form TOC

TABLE OF CHANGES – FORM

Form I-765, Application for Employment Authorization

OMB Number: 1615-0040

05/14/2020

Reason for Revision: Biometrics Rule

Project Phase: NPRM

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 05/31/2020

Edition Date 12/26/2019

Current Page Number and Section	Current Text	Proposed Text
Pages 1-3, Part 2. Information About You	[page 1] … Other Names Used Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 6. Additional Information. … [page 2] … Your Country or Countries of Citizenship or Nationality List all countries where you are currently a citizen or national. If you need extra space to complete this item, use the space provided in Part 6. Additional Information. …	[page 1] … Other Names Used Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 7. Additional Information. … [page 2] … Your Country or Countries of Citizenship or Nationality List all countries where you are currently a citizen or national. If you need extra space to complete this item, use the space provided in Part 7. Additional Information. …
New		[page 4] Part 3. Biographic Information 1. Ethnicity (Select only one box) Hispanic or Latino Not Hispanic or Latino 2. Race (Select all applicable boxes) American Indian or Alaska Native Asian Black or African American Native Hawaiian or Other Pacific Islander White 3. Height Feet__ Inches __ 4. Weight Pounds _ ­_ _ 5. Eye Color (Select only one box) Black Blue Brown Gray Green Hazel Maroon Pink Unknown/Other 6. Hair Color (Select only one box) Bald (No hair) Black Blond Brown Gray Red Sandy White Unknown/Other
Page 4, Part 3. Applicant's Statement, Contact Information, Declaration, Certification, and Signature	[page 4] Part 3. Applicant's Statement, Contact Information, Declaration, Certification, and Signature … 1.b. The interpreter named in Part 4. read to me every question and instruction on this application and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything. 2. At my request, the preparer named in Part 5., [Fillable field], prepared this application for me based only upon information I provided or authorized. … I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that: 1) I reviewed and understood all of the information contained in, and submitted with, my application; and 2) All of this information was complete, true, and correct at the time of filing I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.	[page 4] Part 4. Applicant's Statement, Contact Information, Declaration, Certification, and Signature … 1.b. The interpreter named in Part 5. read to me every question and instruction on this application and my answer to every question in [Fillable field], a language in which I am fluent, and I understood everything. 2. At my request, the preparer named in Part 6., [Fillable field], prepared this application for me based only upon information I provided or authorized. … I furthermore authorize release of information contained in this application, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. [deleted] I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.
Pages 4-5, Part 4. Interpreter's Contact Information, Certification, and Signature	[page 4] Part 4. Interpreter's Contact Information, Certification, and Signature … I am fluent in English and [Fillable field], which is the same language specified in Part 3., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer. …	[page 4] Part 5. Interpreter's Contact Information, Certification, and Signature … I am fluent in English and [Fillable field], which is the same language specified in Part 4., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer. …
Pages 5-6, Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant	[page 5] Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant …	[page 5] Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, If Other Than the Applicant …
Page 7, Part 6. Additional Information	[page 7] Part 6. Additional Information …	[page 7] Part 7. Additional Information …

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