Genealogy Index Search Request and Genealogy Records Request

Forms and Documents

Document Name	Status
Form G-1041A Genealogy Records Request Form	Modified
Form G-1041 Genealogy Index Search Request Form	Modified
G-1041 30-day FRN.pdf Supplementary Document	2019-02-25
G-1041 60-day FRN.pdf Supplementary Document	2019-02-25
G-1041 G-1041A Supporting Statement.docx Supporting Statement A	2019-02-25
G1041A-INS-TOC-Ext-OMBReview-02112019.docx Supplementary Document	2019-02-25
G1041-INS-TOC-Ext-OMBReview-02112019.docx Supplementary Document	2019-02-25
DHS USCIS ICE CBP 001 SORN 20170918.pdf Supplementary Document	2019-02-25
DHS USCIS PIA 017a 20170831.pdf Supplementary Document	2019-02-25
PTA, USCIS - Form G-1041 and G-1041A, 20190130, PRIV FINAL.pdf Supplementary Document	2019-02-25

IC Document Collections

IC ID	Document Title	Status
202018	Genealogy Records Request Form	Modified
202016	Genealogy Index Search Request Form	Modified

ICR Details

OMB Control No: 1615-0096	ICR Reference No: 201902-1615-008
Status: Historical Active	Previous ICR Reference No: 201610-1615-011
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-1041 and G-1041A
Title: Genealogy Index Search Request and Genealogy Records Request
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/17/2019
	Date Received in OIRA: 05/13/2019
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2022	36 Months From Approved	09/30/2019
Responses	6,767	0	6,860
Time Burden (Hours)	3,384	0	3,430
Cost Burden (Dollars)	25,376	0	25,726

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Abstract: The Genealogy Program is necessary to provide a more timely response to requests for genealogical and historical records. Form G-1041 is provided as a convenient means for persons to provide data necessary to perform a search of historical agency indices. Form G-1041A provides a convenient means for persons to identify a particular record desired under the Genealogy Program. The forms provide rapid identification of such requests and ensures expeditious handling. Persons such as researchers, historians, and social scientists seeking ancestry information for genealogical, family history and heir location purposes will use Forms G-1041 and G-1041A.

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Authorizing Statute(s): US Code: 8 USC 1356 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 55393	11/05/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 4519	02/15/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Genealogy Index Search Request	G-1041	Genealogy Index Search Request,
Genealogy Records Request	G-1041A	Genealogy Records Request

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ICR Summary 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	6,767	6,860	0	0	-93	0
Annual Time Burden (Hours)	3,384	3,430	0	0	-46	0
Annual Cost Burden (Dollars)	25,376	25,726	0	0	-350	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The annual burden hours associated with this information collection decreased by 46 hours as a result of a decrease in the number of G-1041 respondents that was partially offset by an increase in the number of G-1041A respondents. The annual cost burden associated with this information collection decreased by $350 as a result of a decrease in the number of G-1041 respondents that was partially offset by an increase in the number of G-1041A respondents.

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Annual Cost to Federal Government: $439,855

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/13/2019

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