Information Collection

Supplement A to Form I-485, Adjustment of Status Under Section 245(i)

IC 218034 under ICR 201907-1615-008 · OMB 1615-0023.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under Section 245(i) Form
I485-SupA-INS-EXT-60Day-12072018.pdf Instruction
I-485 Supplement A Supplement A to Form I-485, Adjustment of Status Under S I485-SupA-FRM-EXT-60Day-12072018.pdf www.uscis.gov/I-485 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-485 Supplement A	Supplement A to Form I-485, Adjustment of Status Under Section 245(i)	I485-SupA-FRM-EXT-60Day-12072018.pdf	www.uscis.gov/I-485	Yes	No	Fillable Printable
Instruction			I485-SupA-INS-EXT-60Day-12072018.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS Benefits Information System	FR Citation: 73 FR 56596

Number of Respondents: 36,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	36,000	6,787	29,213
Annual IC Time Burden (Hours)	45,000	8,484	36,516
Annual IC Cost Burden (Dollars)	0	0	0

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.