Information Collection

I-765 PDFi Filing

IC 272575 under ICR 202506-1615-001 · OMB unassigned.

Documents and Forms

Document Name Document Type
I-765-055-83C_PDFIntakeCopyDeck_11262024.pdf Other-PDFI

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	I-765 PDFi Filing	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 8 CFR 274a.13 (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
Other-PDFI			I-765-055-83C_PDFIntakeCopyDeck_11262024.pdf		Yes	Yes	Fillable Fileable Signable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS/ICE/CBP-001	FR Citation: 78 FR 69983

Number of Respondents: 148,190	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	148,190	0	148,190
Annual IC Time Burden (Hours)	608,383	-2,160	610,543
Annual IC Cost Burden (Dollars)	24,506,180	0	24,506,180

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.

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