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Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Application to Register Permanent Residence or Adjust Status
OMB: 1615-0023
IC ID: 218034
OMB.report
DHS/USCIS
OMB 1615-0023
ICR 202302-1615-005
IC 218034
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0023 can be found here:
2024-07-23 - Revision of a currently approved collection
2024-02-06 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form I-485 Supplement A
Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Form
I485SuppA-031-INS-PublicChargeFinalRule-OMBReview-08242022.pdf
Instruction
I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under S
I485SuppA-031-FRM-PublicChargeFinalRule-OMBReview-08242022.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
I-485 Supplement A
Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
I485SuppA-031-FRM-PublicChargeFinalRule-OMBReview-08242022.pdf
Yes
No
Fillable Printable
Instruction
I485SuppA-031-INS-PublicChargeFinalRule-OMBReview-08242022.pdf
Yes
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
USCIS Benefits Information System
FR Citation:
73 FR 56596
Number of Respondents:
29,213
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
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
29,213
0
0
0
0
29,213
Annual IC Time Burden (Hours)
36,516
0
0
0
0
36,516
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.