Information Collection

Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status

IC 209951 under ICR 202007-1615-012 · OMB 1615-0003.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0003 can be found here:

Documents and Forms

Document Name Document Type
Form I-539A Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status Form
I539A-INS-PCINJ-08042020.pdf www.uscis.gov/i-539 Instruction
I-539A Supplemental Information for Application to Extend/Chang I539A-FRM-PCINJ-08052020.pdf www.uscis.gov/i-539 Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Form I-539A, Supplemental Information for Application to Extend/Change Nonimmigrant Status	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 214

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-539A	Supplemental Information for Application to Extend/Change Nonimmigrant Status	I539A-FRM-PCINJ-08052020.pdf	https://www.uscis.gov/i-539	Yes	No	Fillable Printable
Instruction			I539A-INS-PCINJ-08042020.pdf	https://www.uscis.gov/i-539	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: 81 FR 7206

Number of Respondents: 54,375	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	54,375	54,375
Annual IC Time Burden (Hours)	27,188	27,188
Annual IC Cost Burden (Dollars)	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.