Information Collection Request

Request for Certification of Military or Naval Service

ICR 201705-1615-003 · OMB 1615-0053 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form N-426 Request for Certification of Military or Naval Service Form Modified Available
N-426 SS (30d).docx Supporting Statement A Uploaded 2017-07-06 Available
N-426 30day FRN 20170620.pdf Supplementary Document Uploaded 2017-07-05 Available
N426-INS-TOC-30Day-05252017.docx Supplementary Document Uploaded 2017-05-30 Available
N426-FRM-TOC-30Day-05252017.docx Supplementary Document Uploaded 2017-05-30 Available
SORN 001 AFileIndexNFTS 2013 11 21.html Supplementary Document Uploaded 2017-05-30 Available
SORN 007 Benefits Info Sys 2016 10 19.pdf Supplementary Document Uploaded 2017-05-30 Available
8 U.S.C. 1439, 1440, 8 CFR 328, 329.docx Supplementary Document Uploaded 2017-07-06 Available
privacy-pia-015b-uscis-claims4update-nov5,2013.pdf Supplementary Document Uploaded 2017-05-16 Available
PTA, USCIS - Form N-426, 20161201, PRIV Final.pdf Supplementary Document Uploaded 2017-05-03 Available
N-426 60d FRN 20170314.pdf Supplementary Document Uploaded 2017-05-16 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
20349 Request for Certification of Military or Naval Service Form Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2019 36 Months From Approved 08/31/2017
10,000 0 10,000
3,330 0 3,330
245,000 0 245,000





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Request for Certification of Military or Naval Service N-426 Request for Certification of Military or Naval Service

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 10,000 10,000 0 0 0 0
Annual Time Burden (Hours) 3,330 3,330 0 0 0 0
Annual Cost Burden (Dollars) 245,000 245,000 0 0 0 0


Reginfo record details
  No