Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status

Application to Extend/Change Nonimmigrant Status

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0003 can be found here:

Documents and Forms

Document Name Document Type
Form I-539A Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status Form
Form I-539A Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status Form
I-539A Supplemental Information for Application to Extend/Chang I539A-011-FRM-REV-30Day-05242023.pdf www.uscis.gov/i-539 Form
I-539A Supplemental Information for Application to Extend/Chang I539A-011-FRM-REV-30Day-05242023.pdf www.uscis.gov/i-539 Form

Information Collection (IC) Details

IC Title:	Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-539A	Supplemental Information for Application to Extend/Change Nonimmigrant Status	I539A-011-FRM-REV-30Day-05242023.pdf	https://www.uscis.gov/i-539	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 81 FR 7206

Number of Respondents: 114,044	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	114,044	59,669	54,375
Annual IC Time Burden (Hours)	39,915	12,727	27,188
Annual IC Cost Burden (Dollars)	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.