Verification Request and Verification Request Supplement

Forms and Documents

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

IC Document Collections

IC ID	Document Title	Status
214229	Verification Information System & SAVE Case Check Form and Instruction	New
214228	Verification Request Supplement Form	New
21025	Verification Request Form	Modified

ICR Details

OMB Control No: 1615-0101	ICR Reference No: 201412-1615-008
Status: Historical Active	Previous ICR Reference No: 201105-1615-006
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-845
Title: Verification Request and Verification Request Supplement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/20/2015
	Date Received in OIRA: 01/21/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2018	36 Months From Approved	05/31/2015
Responses	12,976,580	0	12,099,345
Time Burden (Hours)	1,077,057	0	1,004,246
Cost Burden (Dollars)	0	0	6,416,358

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Abstract: In the verification process, a participating agency validates an applicant's immigration status by inputting identifying information into the Verification Information System (VIS), which executes immigration status queries against a range of data sources. If VIS returns an immigration status and the benefit-issuing agency does not find a material discrepancy with the response and the documents provided by the applicant, the verification process is complete. Then, the agency may use that immigration status information in determining whether or not to issue the benefit. In some cases, agencies that do not access the automated verification system may query USCIS by filing Form G-845. Although the Form G-845 does not require it, if needed certain agencies may also file the Form G-845 Supplement with the Form G-845, along with copies of immigration documents to receive additional information necessary to make their benefit determinations. These forms were developed to facilitate communication between all benefit-granting agencies and USCIS to ensure that basic information required to assess status verification requests is provided. USCIS is making minor revisions to the Form G-845 and is streamlining the Form G-845 Supplement with additional immigration statuses that are commonly requested by agencies in order to make their benefit determinations.

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Authorizing Statute(s): PL: Pub.L. 104 - 208 642 Name of Law: Illegal Immigration Reform and Immigrant Responsibility Act
   PL: Pub.L. 99 - 603 121 Name of Law: Immigration Reform and Control Act
  

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:
	79 FR 57948	09/26/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 74760	12/16/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

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

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ICR Summary 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

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: There has been an increase of 72,334 annual burden hours associated with this information collection. This increase can be attributed to a rise in the number of respondents due to increased registration of state and local agencies due to new state and local legislation, as well as more applicants applying for federal, state and local benefits during an economic downturn. For example, two new state driver's licensing agencies signed up to use the SAVE Program and started conducting queries in FY13. Although USCIS is revising this collection, it does not estimate that the revisions will result in an increase in the time burden. USCIS is revising the information to incorporate form design and standard language updates, and to meet operational and customer needs. While previously USCIS had combined all three information collection instructions into one information collection instruction in its previous information collection requests, USCIS will be completing separate entries for each information collection instruments (i.e., VIS Query, G-845, and G-845 Supplement) when it submits this updated information collection request in ROCIS. There has been a decrease of $ 6,416,358 in the annual costs associated with this information collection. This decrease is a result of a technical fix of excluding the fees from the annual cost estimates as they are considered transferred.

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Annual Cost to Federal Government: $6,979,149

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: 01/21/2015

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