E-Verify Survey

Generic Clearance of Customer Service Surveys

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0077 can be found here:

Documents and Forms

Document Name Document Type
DHS Web Questionnaire 12-18-07.doc Other-Survey
Employee site visit 12-17-07.doc Other-Survey
employer site visit 12-17-07.doc Other-Survey

Information Collection (IC) Details

IC Title:	E-Verify Survey	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey	DHS Web Questionnaire 12-18-07.doc	Yes	Yes	Fillable Fileable
Other-Survey	Employee site visit 12-17-07.doc	Yes	No	Fillable Printable
Other-Survey	employer site visit 12-17-07.doc	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Key Asset and Critical Infrastructure Protection

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 68 %

	Requested	Program Change Due to New Statute	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA	Previously Approved
Annual Number of Responses for this IC	3,700	0	0	0	0	0
Annual IC Time Burden (Hours)	3,067	0	0	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	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.