Information Collection

612 E-Verify I-9 Questionnaire - 619 NIJ WoMI

IC 206075 under ICR 201110-1090-001 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 612 612 E-Verify I-9 Questionnaire - 619 NIJ WoMI	Form and Instruction
612 2013 612 E-Verify I-9 Questionnaire 2013 612 E-Verify I-9 Questionnaire 3-7-2013.xls	Form and Instruction
613 2013 613 E-Verify I-9 Questionnaire 2013 613 E-Verify I-9 SP Questionnaire 3-7-2013.xls	Form and Instruction
614 2013 614 E-Verify SAVE Questionnaire 2013 614 E-Verify SAVE Questionnaire 3-7-2013.xls	Form and Instruction
615 2013 615 E-Verify Self-Check Questionnaire 2013 615 E-Verify Self-Check Questionnaire 2-26-2013.xls	Form and Instruction
616 2013 616 E-Verify Self-Check SP Questionnaire 2013 616 E-Verify Self-Check SP Questionnaire 2-26-2013.xls	Form and Instruction
617 2013 617 E-Verify SP Questionnaire 2013 617 E-Verify SP Questionnaire 3-5-2013.xls	Form and Instruction
618 2013 618 NIAMS SiteFeedback Questionnaire 2013 618 NIAMS SiteFeedback Questionnaire_ 3.7.13.xls	Form and Instruction
619 2013 619 NIJ WoMI 2013 619 NIJ WoMI 2013.xls	Form and Instruction

IC Title:

612 E-Verify I-9 Questionnaire - 619 NIJ WoMI

Agency IC Tracking Number:

612 - 619

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	612	2013 612 E-Verify I-9 Questionnaire	2013 612 E-Verify I-9 Questionnaire 3-7-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	613	2013 613 E-Verify I-9 Questionnaire	2013 613 E-Verify I-9 SP Questionnaire 3-7-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	614	2013 614 E-Verify SAVE Questionnaire	2013 614 E-Verify SAVE Questionnaire 3-7-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	615	2013 615 E-Verify Self-Check Questionnaire	2013 615 E-Verify Self-Check Questionnaire 2-26-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	616	2013 616 E-Verify Self-Check SP Questionnaire	2013 616 E-Verify Self-Check SP Questionnaire 2-26-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	617	2013 617 E-Verify SP Questionnaire	2013 617 E-Verify SP Questionnaire 3-5-2013.xls	Yes	Yes	Fillable Fileable
Form and Instruction	618	2013 618 NIAMS SiteFeedback Questionnaire	2013 618 NIAMS SiteFeedback Questionnaire_ 3.7.13.xls	Yes	Yes	Fillable Fileable
Form and Instruction	619	2013 619 NIJ WoMI	2013 619 NIJ WoMI 2013.xls	Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 28,800

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	28,800	28,800
Annual IC Time Burden (Hours)	1,200	1,200
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.