Information Collection Request

Application to Register Permanent Residence or Adjust Status

ICR 201809-1615-012 · OMB 1615-0023 · Historical Inactive

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1615-0023 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form I-485 Application to Register Permanent Residence or Adjust Status	Form	Modified	Available
Form I-485 Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)	Form	Modified	Available
Form I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	Form	Modified	Repair queued
I-485-SS 2018-10-10.doc	Supporting Statement A	Uploaded 2018-10-10	Available
I485-INS-TOC-PubCharge-60Day-10032018.docx	Supplementary Document	Uploaded 2018-10-04	Repair queued
I485-FRM-TOC-PubCharge-60Day-09282018.docx	Supplementary Document	Uploaded 2018-09-28	Repair queued
SORN DHS-USCIS-ICE-CBP-001.pdf	Supplementary Document	Uploaded 2018-09-28	Repair queued
SORN DHS-USCIS-007 BIS.pdf	Supplementary Document	Uploaded 2018-09-28	Available
PIA-016 [CLAIMS 3].pdf	Supplementary Document	Uploaded 2018-09-28	Available
Reference Citations INA 245.doc	Supplementary Document	Uploaded 2018-09-28	Available
Reference Citation - Public Law 106-429.doc	Supplementary Document	Uploaded 2018-09-28	Available
Reference Citation - PUBLIC LAW 105.doc	Supplementary Document	Uploaded 2018-09-28	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
43925	Application to Register Permanent Residence or Adjust Status	Form	Modified
224886	Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)	Form	Modified
222858	Biometrics Processing		Modified
218034	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	Form	Modified

ICR Details

OMB Control No: 1615-0023	ICR Reference No: 201809-1615-012
Status: Historical Inactive	Previous ICR Reference No: 201712-1615-003
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-485
Title: Application to Register Permanent Residence or Adjust Status
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: 11/19/2018
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/10/2018
Terms of Clearance: 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	06/30/2019	36 Months From Approved	07/31/2019
Responses	1,238,997	0	1,238,997
Time Burden (Hours)	4,762,897	0	4,762,897
Cost Burden (Dollars)	223,841,457	0	223,841,457

Abstract: The information on Form I-485 will be used to request and determine eligibility for adjustment of permanent residence status. Supplement A is used to adjust status under section 245(i) of the Immigration and Nationality Act (Act).

Authorizing Statute(s): US Code: 8 USC 1255 Name of Law: U.S. Code

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1615-AA22	Proposed rulemaking	83 FR 51114	10/10/2018

Federal Register Notices & Comments
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
Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)	I-485	Supplement J, Confirmation of Bona Fide Offer or Request for Job Portability Under Section 204(j)
Application to Register Permanent Residence or Adjust Status	I-485	Application to Register Permanent Residence or Adjust Status
Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	I-485 Supplement A	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)
Biometrics Processing

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: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: There is an estimated decrease in the annual hour burden from 4,762,987 to 2,454,135. This results to an estimated total decrease of 1,877,655. This is a result of the calculation of the five-year average for the population of the respondents subject to public charge adjudication.

Annual Cost to Federal Government: $110,541,480

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: Evadne Hagigal 202 272-0993 [email protected]

Common Form ICR: No