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I-765 Worksheet
Application for Employment Authorization
OMB: 1615-0040
IC ID: 203678
OMB.report
DHS/USCIS
OMB 1615-0040
ICR 202408-1615-005
IC 203678
( )
Documents and Forms
Document Name
Document Type
Form I-765WS
I-765 Worksheet
Form and Instruction
Form I-765WS
I-765 Worksheet
Form and Instruction
I-765WS Form I-765 Worksheet
I765WS-050-FRM-TFinalRule-OMBReview-08072024.pdf
Form and Instruction
I-765WS Form I-765 Worksheet
I765WS-050-FRM-TFinalRule-OMBReview-08072024.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
I-765 Worksheet
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Voluntary
CFR Citation:
8 CFR 103.2
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
I-765WS
Form I-765 Worksheet
I765WS-050-FRM-TFinalRule-OMBReview-08072024.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
DHS/USCIS-018 Immigration Biometric and Background Check
FR Citation:
83 FR 36950
Number of Respondents:
302,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
302,000
0
0
0
0
302,000
Annual IC Time Burden (Hours)
151,000
0
0
0
0
151,000
Annual IC Cost Burden (Dollars)
0
0
0
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.