myE-Verify Account Creation

myE-Verify Program

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0117 can be found here:

Documents and Forms

Document Name Document Type
myE-Verify Account Creation Form and Instruction
myE-Verify Content Document 2a. myE-Verify Content Document_for PRA 2-5-14.docx Form and Instruction
myE-Verify Wireframes for PRA 2b. myE-Verify Wireframes for PRA 2-5-14.pdf Form and Instruction
myE-Verify Content Document_ScreenShots 7-22-14.docx myE-Verify Screenshots IC Document

Information Collection (IC) Details

IC Title:	myE-Verify Account Creation	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	myE-Verify Content Document	2a. myE-Verify Content Document_for PRA 2-5-14.docx		Yes	Yes	Fillable Fileable
Form and Instruction	n/a	myE-Verify Wireframes for PRA	2b. myE-Verify Wireframes for PRA 2-5-14.pdf		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-013 E-Verify Self-Check	FR Citation: 76 FR 9034

Number of Respondents: 14,846	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	14,846	14,846
Annual IC Time Burden (Hours)	3,712	3,712
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
myE-Verify Screenshots	myE-Verify Content Document_ScreenShots 7-22-14.docx	07/24/2014

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