Document Verification Request and Document Verification Request Supplement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0101 can be found here:

Documents and Forms

Document Name Document Type
G-845 inst 02-14-2011_updated 12-09-11.pdf Instruction
G-845 Supplement instr 05-20-2011_updated 12-09-11.pdf Instruction
Web Screen Shots Verification Information System WEB-3 Screen Shots Updated 12-14-11.doc Form
G-845 Document Verification Request G-845 02-14-2011.pdf Form
G-845 Supplement Document Verification Request Supplement G-845 Supplement 05-20-2011.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Document Verification Request and Document Verification Request Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			G-845 inst 02-14-2011_updated 12-09-11.pdf	Yes	No	Printable Only
Form	G-845 Supplement	Document Verification Request Supplement	G-845 Supplement 05-20-2011.pdf	Yes	No	Fillable Printable
Form	Web Screen Shots	Verification Information System	WEB-3 Screen Shots Updated 12-14-11.doc	Yes	Yes	Fillable Fileable
Form	G-845	Document Verification Request	G-845 02-14-2011.pdf	Yes	No	Fillable Printable
Instruction			G-845 Supplement instr 05-20-2011_updated 12-09-11.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: 12,099,345	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 98 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	12,099,345	0	1,861,113	10,238,232
Annual IC Time Burden (Hours)	1,004,246	0	154,473	849,773
Annual IC Cost Burden (Dollars)	6,416,358	4,613,784	0	1,802,574

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.