Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program

ICR 200409-1615-002

OMB: 1615-0092

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
1615-0092 200409-1615-002
Historical Active 200311-1653-002
DHS/USCIS
Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program
Revision of a currently approved collection   No
Regular
Approved without change 09/30/2004
Retrieve Notice of Action (NOA) 09/30/2004
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007
5,000 0 0
6,650 0 0
0 0 0

Employers electing to participate in a pilot will execute a Memorandum of Understanding with the INS and the SSA (if applicable), that provides the specific terms and conditions governing the pilot and company information for each site that will be performing employment verification queries.

None
None


No

1
IC Title Form No. Form Name
Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program

  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 5,000 0 0 5,000 0 0
Annual Time Burden (Hours) 6,650 0 0 6,650 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
09/30/2004


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