Information Collection Request

Verification Request and Verification Request Supplement

ICR 201412-1615-008 · OMB 1615-0101 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Verification Information System & SAVE Case Check Form and Instruction New Available
Form G-845 Supplement Verification Request Supplement Form New Available
Form G-845 Verification Request Form Modified Repair queued
SAVE PIA 006.pdf Supplementary Document Uploaded 2014-12-17 Available
SAVE PIA 006(b).pdf Supplementary Document Uploaded 2014-12-17 Available
SAVE SORN.pdf Supplementary Document Uploaded 2014-12-17 Available
G-845 Supporting Statement 12-17-14.doc Supporting Statement A Uploaded 2014-12-17 Available
SAVE Case Check Landing Pages 12-9-14.docx Supplementary Document Uploaded 2014-12-17 Available
G-845-Supp-INS-TOC-30Day-12092014_1430pm.docx Supplementary Document Uploaded 2014-12-17 Available
G845-Supp-FRM-TOC-30Day-12012014.docx Supplementary Document Uploaded 2014-12-17 Available
G845-INS-TOC-30Day-12052014 -clean.docx Supplementary Document Uploaded 2014-12-17 Available
G845-FRM-TOC-30Day-12012014 -clean.docx Supplementary Document Uploaded 2015-05-12 Available
G-845 30-day notice 12-16-14.pdf Supplementary Document Uploaded 2014-12-17 Available
60-Day Notice 9-26-2014 79 FR 57948.pdf Supplementary Document Uploaded 2014-12-17 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214229 Verification Information System & SAVE Case Check Form and Instruction New
214228 Verification Request Supplement Form New
21025 Verification Request Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2018 36 Months From Approved 05/31/2015
12,976,580 0 12,099,345
1,077,057 0 1,004,246
0 0 6,416,358





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Verification Information System & SAVE Case Check N/A, N/A SAVE Check Landing Page ,   Verification Information System
Verification Request G-845 Verification Request
Verification Request Supplement G-845 Supplement Verification Request Supplement

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 12,976,580 12,099,345 0 0 877,235 0
Annual Time Burden (Hours) 1,077,057 1,004,246 0 0 72,811 0
Annual Cost Burden (Dollars) 0 6,416,358 0 0 -6,416,358 0


Reginfo record details
  No