Information Collection

Application for Employment Authorization

IC 20321 under ICR 201208-1615-002 · OMB 1615-0040.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0040 can be found here:

Documents and Forms

Document Name Document Type
Form I-765 Application for Employment Authorization Form
I765-INS-OMBReview-08082012(Final).pdf Instruction
I-765 Application for Employment Authorization I765-FRM-OMBReview-08082012(Final).pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Employment Authorization	Agency IC Tracking Number:	I-765

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 274a.13 (To search for a specific CFR, visit the Code of Federal Regulations.)

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-765	Application for Employment Authorization	I765-FRM-OMBReview-08082012(Final).pdf		Yes	Yes	Fillable Fileable
Instruction			I765-INS-OMBReview-08082012(Final).pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Electronic Immigration System-3 Automated Background Functions, DHS/USCIS-016	FR Citation: 76 FR 70735

Number of Respondents: 1,761,300	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 10 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,761,300	1,041,300	720,000
Annual IC Time Burden (Hours)	6,023,646	3,564,126	2,459,520
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.