E-Verify Program Data Collections

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Worker Interview Protocol	Form and Instruction	New	Available
Employer Interview Protocol	Form and Instruction	New	Available
ATTACHMENT I - Brochure for Workers About the Study 8 14 13.pdf	Supplementary Document	Uploaded 2013-08-14	Available
Response Summary.docx	Supplementary Document	Uploaded 2013-05-30	Available
ATTACHMENT H - Authorization USCISLetterforWorkers,ChangesAccepted8-14-13.docx	Supplementary Document	Uploaded 2013-08-14	Repair queued
ATTACHMENT G - Westat Site Visit Recruitment Script for EmployersChangesAccepted 8 14 13.docx	Supplementary Document	Uploaded 2013-08-14	Available
ATTACHMENT F - Letter from USCIS for EmployersChangesAccepted,8-14-13.docx	Supplementary Document	Uploaded 2013-08-14	Available
ATTACHMENT E - FactSheet for the Onsite Visit,changesaccepted8-14- 13.rtf	Supplementary Document	Uploaded 2013-08-14	Repair queued
ATTACHMENT D -Westat Site Visit Introductory Email Letter for Employers,changesaccepted 8-14-13.docx	Supplementary Document	Uploaded 2013-08-14	Available
ATTACHMENT C - Confidentiality Statement, 8-14-13.docx	Supplementary Document	Uploaded 2013-08-14	Repair queued
SORN.mht	Supplementary Document	Uploaded 2013-05-13	Source copy available
PIA.pdf	Supplementary Document	Uploaded 2013-05-13	Available
Reference Citation.doc	Supplementary Document	Uploaded 2013-05-13	Available
Published 30-Day Notice (2013-4-10)docx.docx	Supplementary Document	Uploaded 2013-05-13	Available
Published 60-Day Notice (2012-12-26).docx	Supplementary Document	Uploaded 2013-05-13	Available
Supporting StatementB - NationalOnsiteStudyWestat 7-31-13 (c).docx	Supporting Statement B	Uploaded 2013-08-14	Repair queued
Supporting Statement A - NationalOnsiteStudyWestatUpdates 7-31-13 (c).docx	Supporting Statement A	Uploaded 2013-08-14	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207115	Worker Interview Protocol	Form and Instruction	New
207114	Employer Interview Protocol	Form and Instruction	New

ICR Details

OMB Control No: 1615-0128	ICR Reference No: 201304-1615-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DHS/USCIS	Agency Tracking No: OMB-69
Title: E-Verify Program Data Collections
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/15/2013
	Date Received in OIRA: 06/25/2013
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2016	36 Months From Approved
Responses	650	0	0
Time Burden (Hours)	1,025	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Department of Homeland Security (DHS) requests clearance from the Office of Management and Budget (OMB) to conduct the most recent in a series of evaluations of employment verification programs referred to as the Study of Employment Eligibility (SEE). The original evaluations of pilot employment verification programs were mandated in Title IV of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), which required the legacy Immigration and Naturalization Service (INS) to establish three pilot employment verification programs. The current E Verify Program has built upon these evaluations, assessing changes to the program, and continuing to determine the extent to which program goals were met.

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Authorizing Statute(s): PL: Pub.L. 104 - 208 401 Name of Law: Illegal Immigration Reform and Immigrant Responsibility Act of 1996
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 76062	12/26/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 21387	04/10/2013
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
Worker Interview Protocol	None	Worker Interview Protocol
Employer Interview Protocol	None, None	Worker Interview Protocal ,   Employer Interview Protocol

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	650	0	0	650	0	0
Annual Time Burden (Hours)	1,025	0	0	1,025	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There are no program changes or adjustments to Items 13 or 14 of the OMB Form 83-I as this is a new collection. The burden is associated with a new information collection.

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Annual Cost to Federal Government: $1,580,000

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 06/25/2013

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