Information Collection

Genealogy Index Search Request

IC 202016 under ICR 201610-1615-011 · OMB 1615-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-1041 Genealogy Index Search Request	Form
G1041-INS-2016FeeRule-83C-10052016.pdf www.uscis.gov/g-1041	Instruction
G-1041 Genealogy Index Search Request, G1041-FRM-2016FeeRule-83C-09202016.pdf www.uscis.gov/g-1041	Form

IC Title:

Genealogy Index Search Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

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	G-1041	Genealogy Index Search Request,	G1041-FRM-2016FeeRule-83C-09202016.pdf	http://www.uscis.gov/g-1041	Yes	No	Fillable Printable
Instruction			G1041-INS-2016FeeRule-83C-10052016.pdf	http://www.uscis.gov/g-1041	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS, ICE and CBPÂ001 Alien File, Index, and National File Tracking System of Records

FR Citation: 76 FR 34233

Number of Respondents: 4,550

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	Previously Approved
Annual Number of Responses for this IC	4,550	4,550
Annual IC Time Burden (Hours)	2,275	2,275
Annual IC Cost Burden (Dollars)	17,063	17,063

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.