Information Collection

Supplement A to Form I-485, Adjustment of Status Under Section 245(i) (paper)

IC 218034 under ICR 202606-1615-018 · OMB 1615-0023.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Supplement A to Form I-485, Adjustment of Status Under Section 245(i) (paper)	Form
I485SupA-051-INS-PCRescissionFR-OMBReview-06182026.pdf	Instruction
I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under S I485SupA-051-FRM-PCRescissionFR-OMBReview-06182026-Functionality.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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-485 Supplement A				Yes	No	Fillable Printable
Instruction					Yes	No	Printable Only

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: 33,636

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	33,636	-11,212	44,848
Annual IC Time Burden (Hours)	29,600	-9,866	39,466
Annual IC Cost Burden (Dollars)	0	0	0

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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