Information Collection

Genealogy Records Request

IC 202018 under ICR 201902-1615-008 · OMB 1615-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0096 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-1041A Genealogy Records Request	Form
G1041A-INS-TOC-Ext-OMBReview-02112019.docx www.uscis.gov/g-1041a	Instruction
G-1041A Genealogy Records Request g-1041a (1).pdf www.uscis.gov/g-1041a	Form

IC Title:

Genealogy Records Request

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

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	G-1041A	Genealogy Records Request	g-1041a (1).pdf	http://www.uscis.gov/g-1041a	Yes	No	Fillable Printable
Instruction			G1041A-INS-TOC-Ext-OMBReview-02112019.docx	http://www.uscis.gov/g-1041a	Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS, ICE and CBP 001 Alien File, Index, and National File Tracking System of Records

FR Citation: 76 FR 34233

Number of Respondents: 2,920

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	2,920	610	2,310
Annual IC Time Burden (Hours)	1,460	305	1,155
Annual IC Cost Burden (Dollars)	10,950	2,287	8,663

Documents for IC

table that charts IC Documents
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.