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Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status
Application to Extend/Change Nonimmigrant Status
OMB: 1615-0003
IC ID: 209951
OMB.report
DHS/USCIS
OMB 1615-0003
ICR 202009-1615-074
IC 209951
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0003 can be found here:
2024-08-21 - No material or nonsubstantive change to a currently approved collection
2024-02-06 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form I-539A
Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status
Form
I539-SupA-014-INS-FinalFeeRule-PostG1056-09222020.pdf
www.uscis.gov/i-539
Instruction
I-539A Supplemental Information for Application to Extend/Chang
I539A-014-FRM-FinalFeeRule-PostG1056-06232020.pdf
www.uscis.gov/i-539
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
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-539A
Supplemental Information for Application to Extend/Change Nonimmigrant Status
I539A-014-FRM-FinalFeeRule-PostG1056-06232020.pdf
https://www.uscis.gov/i-539
Yes
No
Fillable Printable
Instruction
I539-SupA-014-INS-FinalFeeRule-PostG1056-09222020.pdf
https://www.uscis.gov/i-539
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
USCIS Benefits Information System
FR Citation:
81 FR 7206
Number of Respondents:
54,375
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
54,375
0
0
0
0
54,375
Annual IC Time Burden (Hours)
27,188
0
0
0
0
27,188
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.