Information Collection Request
RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { border-color: transparent; background-color: transparent; left: 250px; top:75px; width:1px; height:1px; color:black; overflow:hid
ICR 202011-1615-009 · OMB 1615-0040 · RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1615-0040 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form I-765WS I-765 Worksheet |
Form and Instruction | Modified | Repair queued |
| Form I-765 Application for Employment Authorization |
Form | Modified | Repair queued |
 I-765-016-Supporting Statement-RIN 1615-AC40.docx |
Supporting Statement A | Uploaded 2020-11-19 | Available |
 privacy-pia-061-uscis-benefitrequestintakeprocess-march15,2016.pdf |
Supplementary Document | Uploaded 2020-08-03 | Missing upstream |
| I765WS-016-FRM-TOC-OSUP NPRM-RIN 1615-AC40.docx |
Supplementary Document | Uploaded 2020-11-19 | Repair queued |
| I765-016-INS-TOC-OSUP NPRM-RIN 1615-AC40.docx |
Supplementary Document | Uploaded 2020-11-19 | Available |
| I765-016-FRM-TOC-OSUP NPRM-RIN 1615-AC40.docx |
Supplementary Document | Uploaded 2020-11-19 | Repair queued |
| SORN 007 Benefits Info Sys 2016 10 19.pdf |
Supplementary Document | Uploaded 2020-06-30 | Repair queued |
| DHS-USCIS-ICE-CBP-001_SORN_111222013_78FR69983.pdf |
Supplementary Document | Uploaded 2020-06-01 | Repair queued |
| privacy-pia-056-uscis-eliseappendixaupdate-may17,2016.pdf |
Supplementary Document | Uploaded 2018-02-09 | Missing upstream |
| privacy-pia-016a-uscis-claims3-march25,2016.pdf |
Supplementary Document | Uploaded 2018-02-09 | Repair queued |
 Reference citations_FRM I765.doc |
Supplementary Document | Uploaded 2018-02-09 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 203680 |  Passport-Style Photographs |
Modified | ||
| 203678 | I-765 Worksheet |
Form and Instruction | Modified | |
| 203677 | Biometric Processing |
Modified | ||
| 20321 | Application for Employment Authorization |
Form | Modified |
ICR Details
| Status | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
|---|---|
| Agency/Subagency | RegInfo.gov Technical Difficulties focusMethod = |
| OMB Control No | 1615-0040 |
| Type of Information Collection | RegInfo.gov Technical Difficulties focusMethod = function getFocus() { document.getElementById("main").focus(); } .skip-main { b |
| Previous ICR Reference No | RegInfo.gov Technical Difficulties focusMethod = |
| Agency Tracking No | RegInfo.gov Technical Difficulties focusMethod = |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |