Mapping and Questionnaire Documents IA 30737 A1 (CIS)

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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form 30737 Mapping and Questionnaire Documents IA 30737 A1 (CIS) Form and Instruction
30737 Q_E-Verify v2_Web_Browse_20171121_DOT Q_E-Verify v2_Web_Browse_20171121_DOT.xlsx Form and Instruction
30737 Q_eVerifyI9_Web_Browse_20140708 Q_eVerifyI9_Web_Browse_20140708.xlsx Form and Instruction
30737 Q_eVerifySAVEv2_Web_Browse_20181101_DOT Q_eVerifySAVEv2_Web_Browse_20181101_DOT.xlsx Form and Instruction
30737 Q_myE-Verify-Self Check v2_Web_Browse_20171121_DOT Q_myE-Verify-Self Check v2_Web_Browse_20171121_DOT.xlsx Form and Instruction
1090-0008 Survey Mapping Document (CIS) IA 30737 A1_draft.xlsx 1090-0008 Survey Mapping Document (CIS) IA 30737 A1_draft IC Document
CIS OMB Form 11.13.2018 IA 30737 A1.pdf CIS OMB Form 11.13.2018 IA 30737 A1 IC Document

Information Collection (IC) Details

IC Title:	Mapping and Questionnaire Documents IA 30737 A1 (CIS)	Agency IC Tracking Number:	30737 A1

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	30737	Q_E-Verify v2_Web_Browse_20171121_DOT	Q_E-Verify v2_Web_Browse_20171121_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30737	Q_eVerifyI9_Web_Browse_20140708	Q_eVerifyI9_Web_Browse_20140708.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30737	Q_eVerifySAVEv2_Web_Browse_20181101_DOT	Q_eVerifySAVEv2_Web_Browse_20181101_DOT.xlsx	Yes	Yes	Fillable Fileable
Form and Instruction	30737	Q_myE-Verify-Self Check v2_Web_Browse_20171121_DOT	Q_myE-Verify-Self Check v2_Web_Browse_20171121_DOT.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 %

	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

Title	Document	Date Uploaded
1090-0008 Survey Mapping Document (CIS) IA 30737 A1_draft	1090-0008 Survey Mapping Document (CIS) IA 30737 A1_draft.xlsx	03/06/2019
CIS OMB Form 11.13.2018 IA 30737 A1	CIS OMB Form 11.13.2018 IA 30737 A1.pdf	03/06/2019

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