APPLICATION FOR VERTIFICATION OF INFORMATION FROM IMMIGRATION AND NATURALIZATION RECORDS

ICR 198502-1115-003

OMB: 1115-0088

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1115-0088 198502-1115-003
Historical Active 198209-1115-033
DOJ/INS
APPLICATION FOR VERTIFICATION OF INFORMATION FROM IMMIGRATION AND NATURALIZATION RECORDS
Revision of a currently approved collection   No
Regular
Approved without change 02/28/1985
Retrieve Notice of Action (NOA) 02/19/1985
  Inventory as of this Action Requested Previously Approved
02/28/1988 02/28/1988 03/31/1985
60,000 0 60,000
16,500 0 16,500
0 0 0

FORM IS PROVIDED FOR USE BY PERSONS DESIRING VERIFICATION FROM INS RECORDS OF AGE, DATE OF BIRTH, NATURALIZATION/CITIZENSHIP OR GENEALOGICAL DATA. DATA USED BY INS TO IDENTIFY RECORD AND RELEASE DA REQUESTED.

None
None


No

1
IC Title Form No. Form Name
APPLICATION FOR VERTIFICATION OF INFORMATION FROM IMMIGRATION AND NATURALIZATION RECORDS G-641

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 60,000 60,000 0 0 0 0
Annual Time Burden (Hours) 16,500 16,500 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/19/1985


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