Information Collection

E-Verify Program Data Collection

IC 197226 under ICR 201104-1615-004 · OMB 1615-0119.

Documents and Forms

Documents and forms in this information collection
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

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	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 %

table that charts list of burden
	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

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.