Information Collection

Application for Employment Authorization (paper filing)

IC 20321 under ICR 202406-1615-003 · OMB 1615-0040.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-765 Application for Employment Authorization (paper filing)	Form
Form I-765 Application for Employment Authorization Document Application for Employment Authorization (paper filing)	Form
I765-053-INS-83C-OMBReview-06112024.pdf www.uscis.gov/i-765	Instruction
I765-053-INS-83C-OMBReview-06112024.pdf www.uscis.gov/i-765	Instruction
I-765 Application for Employment Authorization Document I-765-053-83CForm.pdf www.uscis.gov/i-765	Form
I-765 Application for Employment Authorization Document I-765-053-83CForm.pdf www.uscis.gov/i-765	Form

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-765			https://www.uscis.gov/i-765	Yes	No	Fillable Printable
Instruction				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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	1,830,347	1,830,347
Annual IC Time Burden (Hours)	7,901,608	7,901,608
Annual IC Cost Burden (Dollars)	302,684,483	302,684,483

Documents for IC

table that charts IC Documents
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.

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