Information Collection

2015 National Survey of E-Verify Employers

IC 214907 under ICR 201203-1615-006 · OMB 1615-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0126 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2015GenericOMB-AttachmentD-ModeratorGuide_final 122214.docx	Other-Moderator Guide
2015GenericOMB-AttachmentA-DraftPaperVersionUser Survey_final 122214.docx	Other-Pre-test of 2015 Survey for E-
2015GenericOMB-AttachmentC-RecruitingScript_final 122214.docx	Other-Telephone Recruiting Script
2015 mini-supporting statement - E-VerifyEmployerSurveyPretest_final.docx Mini-Supporting Statement	IC Document
2015GenericOMB-AttachmentB-USCISletter.pdf USCIS Letter	IC Document
2015GenericOMB-AttachmentE-Confirmationletter_final.doc Confirmation Letter	IC Document

IC Title:

2015 National Survey of E-Verify Employers

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Moderator Guide	2015GenericOMB-AttachmentD-ModeratorGuide_final 122214.docx	Yes	No	Fillable Printable
Other-Pre-test of 2015 Survey for E-Verify	2015GenericOMB-AttachmentA-DraftPaperVersionUser Survey_final 122214.docx	Yes	No	Fillable Printable
Other-Telephone Recruiting Script	2015GenericOMB-AttachmentC-RecruitingScript_final 122214.docx	Yes	No	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 151

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	151	151
Annual IC Time Burden (Hours)	62	62
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini-Supporting Statement	2015 mini-supporting statement - E-VerifyEmployerSurveyPretest_final.docx	02/05/2015
USCIS Letter	2015GenericOMB-AttachmentB-USCISletter.pdf	02/12/2015
Confirmation Letter	2015GenericOMB-AttachmentE-Confirmationletter_final.doc	02/12/2015

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.