Application for Employment Authorization

Forms and Documents

Document Name	Status
Form I-765WS I-765 Worksheet Form and Instruction	Unchanged
Form I-765 Application for Employment Authorization (paper filing) Form	Modified
I765-042-INS-TOC-AsylumOfficer-NPRM.docx Supplementary Document	2021-09-02
20210820 Asylum Officer NPRM_86 FR 46906_RIN 1615AC67.pdf Supplementary Document	2021-09-02
privacy-pia-uscis071a-myuscisaccountexperience-appendixbupdate-febuary2021.pdf Supplementary Document	2021-02-17
privacy-pia-061-uscis-benefitrequestintakeprocess-march15,2016.pdf Supplementary Document	2021-02-12
SORN 018 DHS_USCIS IBBC 20180731.pdf Supplementary Document	2021-02-12
I765-042-RIN-1615-AC67-AsyOffic-Supporting Statement.docx Supporting Statement A	2021-09-02
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2020-06-30
DHS-USCIS-ICE-CBP-001_SORN_111222013_78FR69983.pdf Supplementary Document	2020-06-01
privacy-pia-uscis056a-elisappendixbupdate-february2021.pdf Supplementary Document	2021-02-17
privacy-pia-016a-uscis-claims3-march25,2016.pdf Supplementary Document	2018-02-09
Reference citations_FRM I765.doc Supplementary Document	2018-02-09

IC Document Collections

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

ICR Details

OMB Control No: 1615-0040	ICR Reference No: 202109-1615-002
Status: Received in OIRA	Previous ICR Reference No: 202106-1615-006
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	Date Submitted to OIRA: 09/14/2021

	Requested	Previously Approved
Expiration Date	36 Months From Approved	08/31/2022
Responses	5,176,535	5,176,535
Time Burden (Hours)	11,881,376	11,881,376
Cost Burden (Dollars)	400,895,820	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-AC67	Proposed rulemaking	86 FR 46906	08/20/2021

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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

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

	Total Request	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)	11,881,376	11,881,376	0	0	0	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:

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Annual Cost to Federal Government: $962,975,475

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: 09/14/2021

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