View Information Collection (IC)

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 Work Authorization	I765-FRM-AC21 NPRM-12242015.pdf		Yes	No	Fillable Printable
Instruction			I765-INS-AC21NPRM-12242015.pdf		Yes	No	Printable Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: Electronic Immigration System-3 Automated Background Functions	FR Citation: 76 FR 70735

Number of Respondents: 4,618,099	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	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	4,618,099	0	155,067	2,481,516	0	1,981,516
Annual IC Time Burden (Hours)	15,793,899	0	530,329	8,486,785	0	6,776,785
Annual IC Cost Burden (Dollars)	1,357,721,106	0	775,155,402	0	0	582,565,704

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.