Application for Significant Public Benefit Entrepreneur

Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0136 can be found here:

Documents and Forms

Document Name Document Type
I941-007-INS-FeeRule-OMBReview-NPRM-07272022.pdf www.uscis.gov/I-941 Instruction
I941-007-INS-FeeRule-OMBReview-NPRM-07272022.pdf www.uscis.gov/I-941 Instruction
I-941 Application for Entrepreneur Parole I941-007-FRM-FeeRule-OMBReview-NPRM-07272022.pdf www.uscis.gov/I-941 Form
I-941 Application for Entrepreneur Parole I941-007-FRM-FeeRule-OMBReview-NPRM-07272022.pdf www.uscis.gov/I-941 Form

Information Collection (IC) Details

IC Title:	Application for Significant Public Benefit Entrepreneur	Agency IC Tracking Number:	I-941

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 212

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			I941-007-INS-FeeRule-OMBReview-NPRM-07272022.pdf	https://www.uscis.gov/I-941	Yes	No	Printable Only
Form	I-941	Application for Entrepreneur Parole	I941-007-FRM-FeeRule-OMBReview-NPRM-07272022.pdf	https://www.uscis.gov/I-941	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Alien File, Index, and National File Tracking SORN	FR Citation: 76 FR 43233

Number of Respondents: 2,940	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	2,940	0	2,940
Annual IC Time Burden (Hours)	13,280	-538	13,818
Annual IC Cost Burden (Dollars)	1,440,600	0	1,440,600

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.