Application for Employment Authorization

Forms and Documents

Document Name	Status
Form I-765WS I-765 Worksheet Form and Instruction	Modified
Form I-765 Application for Employment Authorization Form	Modified
I-765-SS-IER Recission-20180529.docx Supporting Statement A	2018-06-04
I-765 IER Recission NPRM 20180529.pdf Supplementary Document	2018-06-01
I765WS-FRM-TOC-Comp-OMBReview-05222018.docx Supplementary Document	2018-05-30
I765-INS-TOC-Comp-OMBReview-05222018.docx Supplementary Document	2018-05-30
I765-FRM-TOC-Comp-OMBReview-05222018.docx Supplementary Document	2018-05-30
SORN 010 Asy&PreScreen 2015 11 30.html Supplementary Document	2018-02-09
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document	2018-02-09
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document	2018-02-09
privacy-pia-061-uscis-benefitrequestintakeprocess-march15,2016.pdf Supplementary Document	2018-02-09
privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf Supplementary Document	2018-02-09
privacy-pia-027(c)-uscis-asylum-july21,2017.pdf Supplementary Document	2018-02-09
privacy-pia-016a-uscis-claims3-march25,2016.pdf Supplementary Document	2018-02-09
privacy-pia-003b-uscis-iddmp-feb28,2017.pdf Supplementary Document	2018-02-09
SSA SORN 60-058 79FR8780_13FEB2014.pdf Supplementary Document	2017-02-15
SSA SORN 60-058 78FR40542_5JUL2013.pdf Supplementary Document	2017-02-15
SSA SORN 60-058 75FR82121_29DEC2010.pdf Supplementary Document	2017-02-15
Reference citations_FRM I765.doc Supplementary Document	2018-02-09

IC Document Collections

IC ID	Document Title	Status
203680	Passport-Style Photographs	Modified
203678	I-765 Worksheet Form and Instruction	Modified
203677	Biometric Processing	Modified
20321	Application for Employment Authorization Form	Modified

ICR Details

OMB Control No: 1615-0040	ICR Reference No: 201806-1615-001
Status: Historical Inactive	Previous ICR Reference No: 201802-1615-001
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-765, I-765WS
Title: Application for Employment Authorization
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 12/18/2018
	Date Received in OIRA: 06/04/2018
Terms of Clearance: OMB files this comment in accordance with 5 CFR 1320.11( c ). This OMB action is not an approval to conduct or sponsor an information collection under the Paperwork Reduction Act of 1995. This action has no effect on any current approvals. If OMB has assigned this ICR a new OMB Control Number, the OMB Control Number will not appear in the active inventory. For future submissions of this information collection, reference the OMB Control Number provided. In accordance with 5 CFR 1320, OIRA is withholding approval at this time. Prior to publication of the final rule, the agency must submit to OIRA a summary of all comments related to the information collection contained in the proposed rule and the agency response. The agency should clearly indicate any changes made to the information collection as a result of these comments. Any previous terms of clearance continue to apply.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2020	36 Months From Approved	06/30/2020
Responses	4,276,299	0	4,276,299
Time Burden (Hours)	10,550,549	0	10,550,549
Cost Burden (Dollars)	367,575,520	0	367,575,520

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Abstract: USCIS will use the information collected to determine eligibility for work authorization and for the issuance of an employment authorization document.

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Authorizing Statute(s): US Code: 8 USC 1153 Name of Law: Immigration Nationality Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AC04	Proposed rulemaking	83 FR 24415	05/29/2018

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Application for Employment Authorization	I-765	Application for Employment Authorization Document
Biometric Processing
I-765 Worksheet	I-765WS	Form I-765 Worksheet
Passport-Style Photographs

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The respondent, cost, and hour burden numbers used in the Supporting Statement for the Notice of Proposed Rulemaking to rescind the International Entrepreneur Rule are based on the ICR approved on December 8, 2017. It should be noted that a revision ICR, which was submitted to OMB prior to the submission of the IER rescission NPRM, was approved on May 31, 2018. Therefore, the respondent, cost, and hour burden numbers in the IER rescission NPRM do not align with the currently approved burdens for this collection of information. Additionally, the program changes identified in the tables below do not match the changes generated in ROCIS. The data presented here was correct prior to the approval of the revision ICR. The respondent and burden estimates will be updated with publication the final rule.

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Annual Cost to Federal Government: $911,635,125

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/04/2018

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