E-Verify Program Data Collection

Documents and Forms

Document Name Document Type
OMB Attachment A - Email to Mandatory.doc Other-Survey: Email to Mandatory
OMB Attachment B - USCIS Ltr to Mandatory.docx Other-Survey: Letter to Mandatory
OMB Attachment C - Email to Non-Mandatory.doc Other-Survey: Email to Non-Mandatory
OMB Attachment D - USCIS Ltr to Non-Mandatory.doc Other-Survey; Letter to Non-Mandator
OMB Attachment E - Mandatory Survey.docx www.udallcenter.arizona.edu/evm Other-Survey: Mandatory Survey
OMB Attachment F - Non Mandatory Survey.docx www.udallcenter.arizona.edu/evm Other-Survey: Non-Mandatory Survey
Attachment G Non Disclosure Agreement.pdf Other-Survey: Non Disclosure Agreeme

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	E-Verify Program Data Collection	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Survey: Email to Mandatory	OMB Attachment A - Email to Mandatory.doc		Yes	No	Printable Only
Other-Survey: Letter to Mandatory	OMB Attachment B - USCIS Ltr to Mandatory.docx		Yes	No	Printable Only
Other-Survey: Email to Non-Mandatory	OMB Attachment C - Email to Non-Mandatory.doc		Yes	No	Printable Only
Other-Survey; Letter to Non-Mandatory	OMB Attachment D - USCIS Ltr to Non-Mandatory.doc		Yes	No	Printable Only
Other-Survey: Mandatory Survey	OMB Attachment E - Mandatory Survey.docx	https://www.udallcenter.arizona.edu/evm	Yes	Yes	Fillable Fileable
Other-Survey: Non-Mandatory Survey	OMB Attachment F - Non Mandatory Survey.docx	https://www.udallcenter.arizona.edu/evm	Yes	Yes	Fillable Fileable
Other-Survey: Non Disclosure Agreement	Attachment G Non Disclosure Agreement.pdf		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: 900	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	450	450
Annual IC Cost Burden (Dollars)	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.