Application for Employment Authorization

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0040 can be found here:

Documents and Forms

Document Name Document Type
Form I-765 Application for Employment Authorization Form
I765-016-INS-OSUP NPRM-RIN 1615-AC40.pdf Instruction
I765-016-INS-OSUP NPRM-RIN 1615-AC40.pdf Instruction
I-765 Application for Employment Authorization Document I765-016-FRM-OSUP NPRM-RIN 1615-AC40.pdf Form
I-765 Application for Employment Authorization Document I765-016-FRM-OSUP NPRM-RIN 1615-AC40.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for 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 274a.13 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-765	Application for Employment Authorization Document	I765-016-FRM-OSUP NPRM-RIN 1615-AC40.pdf		Yes	No	Fillable Printable
Instruction			I765-016-INS-OSUP NPRM-RIN 1615-AC40.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-007 Benefits Information System, October 19, 2016	FR Citation: 81 FR 72069

Number of Respondents: 2,286,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,286,000	0	2,286,000
Annual IC Time Burden (Hours)	11,430,000	1,143,000	10,287,000
Annual IC Cost Burden (Dollars)	378,035,820	0	378,035,820

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.