Verification Request

Verification Request and Verification Request Supplement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0101 can be found here:

Documents and Forms

Document Name Document Type
Form G-845 Verification Request Form
USCIS Form G-845 Instructions.pdf www.uscis.gov/g-845 Instruction
G-845 Verification Request USCIS Form G-845.pdf www.uscis.gov/g-845 Form

Information Collection (IC) Details

IC Title:	Verification Request	Agency IC Tracking Number:	G-845

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-845	Verification Request	USCIS Form G-845.pdf	www.uscis.gov/g-845	Yes	No	Fillable Printable
Instruction			USCIS Form G-845 Instructions.pdf	www.uscis.gov/g-845	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: SAVE Program SORN	FR Citation: 77 FR 47415

Number of Respondents: 162,106	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 34 %

	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	162,106	-98,300	260,406
Annual IC Time Burden (Hours)	13,455	-8,159	21,614
Annual IC Cost Burden (Dollars)	204,254	204,254	0

Documents for IC

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.