Information Collection

E-Verify Program Data Collections

IC 192486 under ICR 201004-1615-002 · OMB 1615-0115.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
ATTACHMENT B _to OMB Clearance.doc	Other-Survey - Web
ATTACHMENT A _to OMB Clearance-Adv Letters for Web Survey Users.doc	Other-Survey - Adv Letters to Web Su
ATTACHMENT C _to OMB Clearance - Designated Agents and their Users.doc	Other-Survey - Designated agents and
ATTACHMENT D _to OMB Clearance - Designated Agent Interview Protocol.rtf	Other-Survey - Designated Agent inte
ATTACHMENT E _to OMB Clearance - Users of Designated Agents.doc	Other-Survey - Users of Designated A
ATTACHMENT F _to OMB Clearance - Arizona Stakeholders Meeting.doc	Other-Survey - Arizona Stakeholders
ATTACHMENT G _to OMB Clearance - Stakeholders Meeting Summary 2007 (DC).doc	Other-Survey - Stakeholders Meeting
ATTACHMENT H _to OMB Clearance - Assurance of Confidentiality Statement.doc	Other-Survey - Assurance of Confiden

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey - Web	Yes	Yes	Fillable Fileable
Other-Survey - Adv Letters to Web Survey Users	Yes	No	Printable Only
Other-Survey - Designated agents and their Users	Yes	No	Printable Only
Other-Survey - Designated Agent interview Protocol	Yes	No	Printable Only
Other-Survey - Users of Designated Agents	Yes	No	Printable Only
Other-Survey - Arizona Stakeholders Meeting	Yes	No	Printable Only
Other-Survey - Stakeholders Meeting Summary 2007 (DC)	Yes	No	Printable Only
Other-Survey - Assurance of Confidentiality Statements	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,480

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 97 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,480	2,480
Annual IC Time Burden (Hours)	1,280	1,280
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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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