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DNA Collection Consent Form (Laboratory Test) and Test
COLLECTION INSTRUMENT(S): AABB accredited laboratory testing; Rapid DNA prototype Accelerated Nuclear DNA Equipment (ANDE) by NetBio; Rapid DNA prototype RapidHIT200 by IntegenX
OMB: 1615-0132
IC ID: 219137
OMB.report
DHS/USCIS
OMB 1615-0132
ICR 201905-1615-004
IC 219137
( )
Documents and Forms
Document Name
Document Type
Form G-1294
DNA Collection Consent Form (Laboratory Test) and Test
Form and Instruction
G-1294 DNA Collection Consent Form (Laboratory Test)
G1294-FRM-OMBReview-05132019.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
DNA Collection Consent Form (Laboratory Test) and Test
Agency IC Tracking Number:
G-1294
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
8 CFR 207
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
G-1294
DNA Collection Consent Form (Laboratory Test)
G1294-FRM-OMBReview-05132019.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
Alien File, Index, and National File Tracking System of Records
FR Citation:
78 FR 69864
Number of Respondents:
250
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
250
0
0
0
0
250
Annual IC Time Burden (Hours)
54
0
0
0
0
54
Annual IC Cost Burden (Dollars)
0
0
0
0
0
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.