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⚠️ Notice: This information collection may be referencing outdated material.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
I765-053-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

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	I-765-053-83CForm.pdf	https://www.uscis.gov/i-765	Yes	No	Fillable Printable
Instruction			I765-053-INS-83C-OMBReview-06112024.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	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

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.