Information Collection

2019 005 CRC Mobile Informational_2018.09.27

IC 233790 under ICR 201805-1090-003 · OMB 1090-0008.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1090-0008 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 005 2019 005 CRC Mobile Informational_2018.09.27	Form and Instruction
005 2019 005 CRC Mobile Informational_2018.09.27 2019 005 CRC Mobile Informational_2018.09.27.xlsx	Form and Instruction
CRC OMB Form 10.16.2018-.pdf CRC OMB Form 10.16.2018-	IC Document
1090-0008 Survey Mapping Document USCIS CRC (1).docx 1090-0008 Survey Mapping Document USCIS CRC (1)	IC Document

IC Title:

2019 005 CRC Mobile Informational_2018.09.27

Agency IC Tracking Number:

005

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	005	2019 005 CRC Mobile Informational_2018.09.27	2019 005 CRC Mobile Informational_2018.09.27.xlsx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,600

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	3,600	3,600
Annual IC Time Burden (Hours)	150	150
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CRC OMB Form 10.16.2018-	CRC OMB Form 10.16.2018-.pdf	10/30/2018
1090-0008 Survey Mapping Document USCIS CRC (1)	1090-0008 Survey Mapping Document USCIS CRC (1).docx	10/30/2018

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