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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1615-0040
ICR Reference No:
201712-1615-005
Status:
Historical Active
Previous ICR Reference No:
201705-1615-008
Agency/Subagency:
DHS/USCIS
Agency Tracking No:
I-765, I-765WS
Title:
Application for Employment Authorization
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/08/2017
Retrieve Notice of Action (NOA)
Date Received in OIRA:
12/08/2017
Terms of Clearance:
This information collection approval is effective as of December 1, 2017.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2018
02/28/2018
02/28/2018
Responses
4,939,993
0
4,934,113
Time Burden (Hours)
8,997,383
0
8,985,859
Cost Burden (Dollars)
651,308,752
0
650,414,992
Abstract:
USCIS will use the information collected to determine eligibility for work authorization and for the issuance of an employment authorization document.
Authorizing Statute(s):
US Code:
8 USC 1153
Name of Law: Immigration Nationality Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1615-AC04
Final or interim final rulemaking
82 FR 99999
07/10/2017
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
82 FR 99999
07/10/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 99999
07/10/2017
Did the Agency receive public comments on this ICR?
No
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
Passport-Style Photographs
Work Sheet
I-765WS, I-765WS
I-765 Work Sheet
,
I-765 Worksheet
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
4,939,993
4,934,113
0
5,880
0
0
Annual Time Burden (Hours)
8,997,383
8,985,859
0
11,524
0
0
Annual Cost Burden (Dollars)
651,308,752
650,414,992
0
893,760
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
USCIS is advancing the release date for Form I-765 to December 1, 2017.
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
Agency Contact:
Heather Young 202 272-1673 heather.l.young@uscis.dhs.gov
Common Form ICR:
No
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:
12/08/2017
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