Information Collection

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

IC 280161 under ICR 202604-1615-004 · OMB 1615-0023.

Documents and Forms

Document Name Document Type
I-485 Supplement A_Online Guided Filing Screen Mocks_83c Request.pdf Other-Screenshots

Information Collection (IC) Details

View Information Collection (IC)

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

Is this a Common Form? No		IC Status: New

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
Other-Screenshots			I-485 Supplement A_Online Guided Filing Screen Mocks_83c Request.pdf		Yes	Yes	Fillable Fileable Signable

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: 11,212	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	11,212	11,212
Annual IC Time Burden (Hours)	9,082	9,082
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.

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