Information Collection

Genealogy Records Request (Submission by Mail)

IC 202018 under ICR 201204-1615-002 · OMB 1615-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-1041A Genealogy Records Request (Submission by Mail)	Form
G1041A-INS-OMBReview-12062011.pdf	Instruction
G-1041A Genealogy Records Request G1041A-FRM-OMBReview-12062011.pdf	Form

IC Title:

Genealogy Records Request (Submission by Mail)

Agency IC Tracking Number:

G-1041A

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-1041A	Genealogy Records Request	G1041A-FRM-OMBReview-12062011.pdf		Yes	No	Fillable Printable
Instruction			G1041A-INS-OMBReview-12062011.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS, ICE and CBPÂ001 Alien File, Index, and National File Tracking System of Records

FR Citation: 76 FR 34233

Number of Respondents: 823

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	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	823	823
Annual IC Time Burden (Hours)	412	412
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.