I-765 PDFi Filing

Application for Employment Authorization

Documents and Forms

Document Name Document Type
I-765-055-83C_PDFIntakeCopyDeck_11262024.pdf Other-PDFI
I-765-055-83C_PDFIntakeCopyDeck_11262024.pdf Other-PDFI

Information Collection (IC) Details

IC Title:	I-765 PDFi Filing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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
Other-PDFI			I-765-055-83C_PDFIntakeCopyDeck_11262024.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS/ICE/CBP-001	FR Citation: 78 FR 69983

Number of Respondents: 148,190	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	148,190	148,190
Annual IC Time Burden (Hours)	610,543	610,543
Annual IC Cost Burden (Dollars)	24,506,180	24,506,180

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.