Application for Employment Authorization

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form I-765WS Form I-765 Worksheet	Form and Instruction	Modified	Available
Form I-765WS I-765 Worksheet	Form and Instruction	Modified	Repair queued
Form I-765 Application for Employment Authorization Document	Form	Modified	Available
Form I-765 Application for Employment Authorization (paper filing)	Form	Modified	Repair queued
I-765-Online Filing-83C.pdf	Justification for No Material/Nonsubstantive Change	Uploaded 2021-02-17	Repair queued
I-765-035-Copy Deck-83C for Online Filing.pdf	Supplementary Document	Uploaded 2021-02-17	Missing upstream
privacy-pia-uscis071a-myuscisaccountexperience-appendixbupdate-febuary2021.pdf	Supplementary Document	Uploaded 2021-02-17	Repair queued
PTA, USCIS - Form I-765 and I-765WS, 20210212, PRIV Final.pdf	Supplementary Document	Uploaded 2021-02-17	Repair queued
privacy-pia-061-uscis-benefitrequestintakeprocess-march15,2016.pdf	Supplementary Document	Uploaded 2021-02-12	Available
SORN 018 DHS_USCIS IBBC 20180731.pdf	Supplementary Document	Uploaded 2021-02-12	Missing upstream
I-765-035-Supporting Statement-83C Online Filing.docx	Supporting Statement A	Uploaded 2021-02-11	Available
SORN 007 Benefits Info Sys 2016 10 19.pdf	Supplementary Document	Uploaded 2020-06-30	Missing upstream
DHS-USCIS-ICE-CBP-001_SORN_111222013_78FR69983.pdf	Supplementary Document	Uploaded 2020-06-01	Repair queued
privacy-pia-uscis056a-elisappendixbupdate-february2021.pdf	Supplementary Document	Uploaded 2021-02-17	Repair queued
privacy-pia-016a-uscis-claims3-march25,2016.pdf	Supplementary Document	Uploaded 2018-02-09	Repair queued
Reference citations_FRM I765.doc	Supplementary Document	Uploaded 2018-02-09	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
245763	I-765 Online Filing	Other-Online Filing	New
203680	Passport-Style Photographs		Unchanged
203678	I-765 Worksheet	Form and Instruction	Modified	Form I-765 Worksheet
203678	I-765 Worksheet	Form and Instruction	Modified
203677	Biometrics Submission		Modified
20321	Application for Employment Authorization (paper filing)	Form	Modified	Application for Employment Authorization Document
20321	Application for Employment Authorization (paper filing)	Form	Modified
20321	Application for Employment Authorization (paper filing)	Instruction	Modified

ICR Details

OMB Control No: 1615-0040	ICR Reference No: 202102-1615-003
Status: Historical Active	Previous ICR Reference No: 202008-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-765, I-765WS
Title: Application for Employment Authorization
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: Approved with change	Conclusion Date: 03/01/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/18/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2022	08/31/2022	08/31/2022
Responses	5,176,535	0	5,176,535
Time Burden (Hours)	11,881,713	0	11,934,966
Cost Burden (Dollars)	400,895,820	0	400,895,820

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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	Final or interim final rulemaking	85 FR 46788	08/03/2020

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Application for Employment Authorization (paper filing)	I-765	Application for Employment Authorization Document
Biometrics Submission
I-765 Online Filing
I-765 Worksheet	I-765WS	Form I-765 Worksheet
Passport-Style Photographs

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,176,535	5,176,535	0	0	0	0
Annual Time Burden (Hours)	11,881,713	11,934,966	0	0	-53,253	0
Annual Cost Burden (Dollars)	400,895,820	400,895,820	0	0	0	0

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: USCIS is adding an online filing option for certain I-765 eligibility categories. USCIS is estimating that about half of the respondent population eligible to file online will select this option instead of filing on paper. This estimate will be adjusted in future PRA actions as data about online filing receipts becomes available. USCIS estimates that online filing will take slightly less time than filing on paper. The initial estimated time burden per response for an online filing (4 hours) is 30 minutes less than for a paper filing (4.5 hours).

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Annual Cost to Federal Government: $1,282,986,050

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: 02/18/2021

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