Information Collection

National Survey of E-Verify Employers Pretest

IC 231578 under ICR 201801-1615-002 · OMB 1615-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0126 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment A-1 Employers and EEAs Verifying Only Own Workers.docx	Other-Prestest- Employers and EEA Ve
Attachment A-2 EEAs Verifying Only Clients' Workers.docx	Other-Pretest- EEA Verification - Cl
Attachment A-3 EEAs Verifying Both Clients and Own Workers.docx	Other-Pretest - EEA Verification - C
Attachment A-4 Clients of EEAs.docx	Other-Pretest - Survey for Clients o
Attachment C Revised Pretest Recruiting Script.docx	Other-Recruiting Script
Attachment D Moderator Guide for Focus Groups.docx	Other-Moderator Guide
SS - Pretest 2018 E-Verify Employer Survey (final).docx Mini-Supporting Statement	IC Document
SORN - E-Verify.docx System of Records Notice	IC Document
PIA - E-Verify Program.pdf Privacy Impact Assessment	IC Document
Attachment B USCIS Letter of Invitation.docx USCIS Letter of Invitation	IC Document
Attachment E Westat Confirmation Letter.doc Confirmation Letter	IC Document

IC Title:

National Survey of E-Verify Employers Pretest

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Prestest- Employers and EEA Verification	Attachment A-1 Employers and EEAs Verifying Only Own Workers.docx	Yes	No	Fillable Printable
Other-Pretest- EEA Verification - Client Workers	Attachment A-2 EEAs Verifying Only Clients' Workers.docx	Yes	No	Fillable Printable
Other-Pretest - EEA Verification - Client and Own Workers	Attachment A-3 EEAs Verifying Both Clients and Own Workers.docx	Yes	No	Fillable Printable
Other-Pretest - Survey for Clients of EEA	Attachment A-4 Clients of EEAs.docx	Yes	No	Fillable Printable
Other-Recruiting Script	Attachment C Revised Pretest Recruiting Script.docx	Yes	No	Fillable Printable
Other-Moderator Guide	Attachment D Moderator Guide for Focus Groups.docx	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS 011 E-Verify Program System of Records

FR Citation: 79 FR 46852

Number of Respondents: 130

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	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Mini-Supporting Statement	SS - Pretest 2018 E-Verify Employer Survey (final).docx	05/25/2018
System of Records Notice	SORN - E-Verify.docx	05/25/2018
Privacy Impact Assessment	PIA - E-Verify Program.pdf	05/25/2018
USCIS Letter of Invitation	Attachment B USCIS Letter of Invitation.docx	05/25/2018
Confirmation Letter	Attachment E Westat Confirmation Letter.doc	05/25/2018

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