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Form Table of Changes

ICR 202607-1615-006 · OMB 1615-0040 · Object 171423400.

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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Form Table of Changes
Kim, Young M
Writer
2026-05-28
2026-09-22
complete

Extracted Text


TABLE OF CHANGES – FORM
Form I-765WS, Form I-765 Worksheet
OMB Number: 1615-0040
05/28/2026

Reason for Revision:  Discretionary EADs NPRM
Project Phase:  OMB Review

Legend for Proposed Text:
    • Black font = Current text
    • Red font = Changes

Expires 08/31/2027
Future Expires Date xx/xx/2029
Edition Date 08/21/2025
Future Edition Date xx/xx/2026


Current Page Number and Section
Current Text
Proposed Text
Page 1,
[Page 1]

If you are applying for employment authorization under the (c)(14), Deferred Action, or (c)(33), Consideration of Deferred Action for Childhood Arrivals, categories, you must complete this worksheet so we can determine whether you have an economic need to work.  In the spaces provided, indicate your current annual income, your current annual expenses, and the total current value of your assets.  Supporting evidence is not required, but U.S. Citizenship and Immigration Services (USCIS) will accept and review any documentation that you submit.  You do not need to include other household members' financial information to establish your own economic necessity.










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[Page 1]

If you are applying for employment authorization under the (c)(11) Parole, (c)(14) Deferred Action, (c)(18) Aliens Ordered Removed and Released from Custody on Orders of Supervision, or (c)(33) Consideration of Deferred Action for Childhood Arrivals, categories, you must complete this worksheet so we can determine whether you have an economic need to work. In the spaces provided, indicate your current annual income, your current annual expenses, and the total current value of your assets. Supporting evidence must be submitted with your Form I-765 WS, Worksheet. Supporting evidence includes, but is not limited to, pay stubs, an Internal Revenue Service (IRS) transcript for the most recent tax year, Form W-2 or Form 1099 for the most recent tax year, evidence of the value of your assets such as the appraised value of your home, utility bills, credit card statements, bank statements, and evidence of your claimed income including alimony, child support, and dividends. You do not need to include other household members' financial information to establish your own economic necessity.

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Page 1,

Part 3.  Explanation

[Page 1]

Part 3.  Explanation

If you would like to provide an explanation regarding your current financial information or your economic need for employment authorization, use the space below.








[Fillable field]

[Page 1]

Part 3.  Explanation

If you are unable to provide supporting evidence, use the space below to provide an explanation regarding your current financial information, your economic need for employment authorization, and why you cannot provide supporting evidence. You may also use the space below to provide additional information regarding your economic need for employment authorization if submitting supporting evidence with your Form I-765 WS, Worksheet.

[Fillable field]