Document Verification Request and Document Verification Request Supplement

Forms and Documents

Document Name	Status
Form Supplement to G-84 Document Verification Request and Document Verification Request Supplement Form	Modified
G-845S Table of Changes 5-7-08.doc Supplementary Document	2008-05-16
G-845 Table of Changes 05-07-08.doc Supplementary Document	2008-05-16
Reference Cites.doc Supplementary Document	2008-05-16
G-845 30 Day Published 5-16-08.doc Supplementary Document	2008-05-16
G-845 60 Day Published 3-4-08.doc Supplementary Document	2008-05-16
G-845 Support Stat 5-12-08.doc Supporting Statement A	2008-05-16

IC Document Collections

IC ID	Document Title	Status
21025	Document Verification Request and Document Verification Request Supplement Form	Modified

ICR Details

OMB Control No: 1615-0101	ICR Reference No: 200805-1615-019
Status: Historical Active	Previous ICR Reference No: 200609-1615-006
Agency/Subagency: DHS/USCIS	Agency Tracking No:
Title: Document Verification Request and Document Verification Request Supplement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/08/2008
	Date Received in OIRA: 05/28/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2011	36 Months From Approved	07/31/2008
Responses	10,238,232	0	500,000
Time Burden (Hours)	849,773	0	41,500
Cost Burden (Dollars)	1,802,574	0	20,045,000

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Abstract: In the verification process, a participating agency validates an applicant’s immigration status by inputting identifying information into the Verification Information System (VIS), which executes immigration status queries against a range of data sources. If VIS returns an immigration status and the benefit-issuing agency does not find a material discrepancy with the response and the documents provided by the applicant, the verification process is complete. Then, the agency may use that immigration status information in determining whether or not to issue the benefit. In some cases, agencies that do not access the automated verification system may query USCIS by filing Form G-845. There is also a document called the Form G-845S that was developed for use by only the agencies that administered the benefits mandated by IRCA.

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Authorizing Statute(s): PL: Pub.L. 104 - 208 642 Name of Law: Illegal Immigration Reform and Immigrant Responsibility Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 11654	03/04/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 28492	05/16/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Document Verification Request and Document Verification Request Supplement	No Number, Supplement to G-845, G-845S, G-845	Supplement to Document Verification Request ,   Document Verification Request ,   Document Verification Request ,   Verification Information System

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ICR Summary of Burden

	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	10,238,232	500,000	0	0	9,738,232	0
Annual Time Burden (Hours)	849,773	41,500	0	0	808,273	0
Annual Cost Burden (Dollars)	1,802,574	20,045,000	0	0	-18,242,426	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There has been an increase of 808,273 in the burden hours associated with this information collection. In previous submissions, USCIS would always report the number of respondents submitting the G-845, G-845S and the Supplement, but USCIS never reported the number of electronic queries conducted by the respondent prior to submitting the G-845, G-845S and Supplement for verification. USCIS previously submitted the screen shots of the Verification Information System for OMB approval along with the G-845, G-845S and Supplement but never accounted for the number of electronic queries. This submission corrects that oversight.

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Annual Cost to Federal Government: $5,200,355

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/28/2008

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