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

Application to Register Permanent Residence or Adjust Status

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0023 can be found here:

Documents and Forms

Document Name Document Type
Form Form I-485, Supple Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Form
i-485 - supa instr.pdf Instruction
Form I-485, Supple Adjustment of Status Under Section 245(i) i-485 supa - form.pdf Form

Information Collection (IC) Details

IC Title:	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	Form I-485, Supplement A	Adjustment of Status Under Section 245(i)	i-485 supa - form.pdf		Yes	No	Fillable Printable
Instruction			i-485 - supa instr.pdf		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: 3,888	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	3,888	3,888
Annual IC Time Burden (Hours)	840	840
Annual IC Cost Burden (Dollars)	0	0

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.