Information Collection

Application for Employment Authorization for Abused Nonimmigrant Spouse

IC 223940 under ICR 202401-1615-031 · OMB 1615-0137.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0137 can be found here:

Documents and Forms

Document Name Document Type
I765V-010-INS-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765v Instruction
I765V-010-INS-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765v Instruction
I-765V Application for Employment Authorization for Abused Noni I765V-010-FRM-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765v Form
I-765V Application for Employment Authorization for Abused Noni I765V-010-FRM-FeeRule-OPSReview-FR-10172023.pdf www.uscis.gov/i-765v Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Application for Employment Authorization for Abused Nonimmigrant Spouse	Agency IC Tracking Number:	I-765V

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 274a.2(b)(1) 8 CFR 103.2(b)(9) 8 CFR 103.16 (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
Instruction			I765V-010-INS-FeeRule-OPSReview-FR-10172023.pdf	www.uscis.gov/i-765v	Yes	No	Printable Only
Form	I-765V	Application for Employment Authorization for Abused Nonimmigrant Spouse	I765V-010-FRM-FeeRule-OPSReview-FR-10172023.pdf	www.uscis.gov/i-765v	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS/ICE/CBP-001-Alien File, Index, and National File Tracking	FR Citation: 78 FR 69864

Number of Respondents: 350	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	350	0	350
Annual IC Time Burden (Hours)	1,248	-65	1,313
Annual IC Cost Burden (Dollars)	87,500	0	87,500

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.