Application for Employment Authorization (paper filing)

Application for Employment Authorization

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0040 can be found here:

Documents and Forms

Document Name Document Type
Form I-765 Application for Employment Authorization (paper filing) Form
I765-INS-DACA-OMBApproved-10312022.pdf www.uscis.gov/i-765 Instruction
I765-INS-DACA-OMBApproved-10312022.pdf www.uscis.gov/i-765 Instruction
I-765 Application for Employment Authorization Document I765-052-FRM-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765 Form
I-765 Application for Employment Authorization Document I765-052-FRM-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765 Form

Information Collection (IC) Details

IC Title:	Application for Employment Authorization (paper filing)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 274a.13 (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
Form	I-765	Application for Employment Authorization Document	I765-052-FRM-FeeRule-OPSReview-FR-10172023.pdf	https://www.uscis.gov/i-765	Yes	No	Fillable Printable
Instruction			I765-INS-DACA-OMBApproved-10312022.pdf	https://www.uscis.gov/i-765	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-007 Benefits Information System	FR Citation: 81 FR 72069

Number of Respondents: 1,830,347	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	1,830,347	0	1,830,347
Annual IC Time Burden (Hours)	7,901,608	-334,954	8,236,562
Annual IC Cost Burden (Dollars)	302,684,483	0	302,684,483

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.