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⚠️ Notice: This information collection may be referencing outdated material.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 I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Form
I485SuppA-031-INS-PublicChargeFinalRule-OMBReview-08242022.pdf Instruction
I485SuppA-031-INS-PublicChargeFinalRule-OMBReview-08242022.pdf Instruction
I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under S I485SupA-036-FRM-FeeRule-OPSReview-FR-12182023.pdf Form
I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under S I485SupA-036-FRM-FeeRule-OPSReview-FR-12182023.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: Modified

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	I-485 Supplement A	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	I485SupA-036-FRM-FeeRule-OPSReview-FR-12182023.pdf		Yes	No	Fillable Printable
Instruction			I485SuppA-031-INS-PublicChargeFinalRule-OMBReview-08242022.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: 29,213	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	29,213	0	29,213
Annual IC Time Burden (Hours)	31,170	-5,346	36,516
Annual IC Cost Burden (Dollars)	0	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.