Information Collection

Worker Interview Protocol

IC 207115 under ICR 201304-1615-002 · OMB 1615-0128.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Worker Interview Protocol	Form and Instruction
Worker Interview Protocol Attachment B Final 2012-12-18 1615-NEW e-Verify.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	Worker Interview Protocol	Attachment B Final 2012-12-18 1615-NEW e-Verify.docx		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS E-Verify Program System of Records

FR Citation: 75 FR 28035

Number of Respondents: 400

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	400	400
Annual IC Time Burden (Hours)	400	400
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.