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Application for Employment Authorization for Abused Nonimmigrant Spouse
Application for Employment Authorization for Abused Nonimmigrant Spouse
OMB: 1615-0137
IC ID: 223940
OMB.report
DHS/USCIS
OMB 1615-0137
ICR 202212-1615-016
IC 223940
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0137 can be found here:
2024-02-09 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
I765V-007-INS-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Instruction
I765V-007-INS-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Instruction
I-765V Application for Employment Authorization for Abused Noni
I765V-007-FRM-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Form
I-765V Application for Employment Authorization for Abused Noni
I765V-007-FRM-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Application for Employment Authorization for Abused Nonimmigrant Spouse
Agency IC Tracking Number:
I-765V
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
8 CFR 274a.2(b)(1)
8 CFR 103.2(b)(9)
8 CFR 103.16
(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
Instruction
I765V-007-INS-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Yes
No
Printable Only
Form
I-765V
Application for Employment Authorization for Abused Nonimmigrant Spouse
I765V-007-FRM-OMBReview-NPRM-07282022.pdf
www.uscis.gov/i-765v
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
DHS/USCIS/ICE/CBP-001-Alien File, Index, and National File Tracking
FR Citation:
78 FR 69864
Number of Respondents:
350
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Requested
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
350
0
0
0
0
350
Annual IC Time Burden (Hours)
1,248
0
-65
0
0
1,313
Annual IC Cost Burden (Dollars)
87,500
0
0
0
0
87,500
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.