G-1041a Frm Toc

TABLE OF CHANGES – FORM

Form G-1041A, Genealogy Records Request

OMB Number: 1615-0096

10/30/2019

Reason for Revision: 2019 Fee Rule

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 09/30/2022

Edition Date 09/17/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1 Part 1. Information About You (Requestor)	[Page 1] Part 1. Information About You (Requestor) … Requestor's Certification By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $65. (See Form G-1041A Instructions for more information.) 6.a. Requestor's Signature 6.b. Date of Signature (mm/dd/yyyy)	[Page 1] Part 1. Information About You (Requestor) … Requestor's Certification By my signature, I consent to pay all costs incurred for search, duplication, and review of documents up to $385. (See Form G-1041A Instructions for more information.) [No change]
Page 2 Part 3. Identification of Requested Record	[Page 2] Part 3. Identification of Requested Record NOTE (C-file numbered C650000 and below): The fee for a copy of a microfilm record is $65 per request. NOTE (C-file numbered C650000 and below): The fee for a copy of a textual hard copy file is $65 per request. NOTE: If you are a researcher providing a C-file number below C-650000 obtained from any source other than the USCIS Genealogy Program, you may not know the format of the file (microfilm or hard copy). Naturalization Certificate File (1906 - 1956) 1.a. Certificate Number ►C 1.b. Date of Naturalization (mm/dd/yyyy) 1.c. Court 1.d. City 1.e. County 1.f. Fee (Select all appropriate boxes) [ ] $65 (Microfilm) [ ] $65 (Hard Copy) Non-standard C-Files (B, D, OM, OS, A, AA,OL) 2.a. Number as Shown on Certificate 2.b. Date of Issuance (mm/dd/yyyy) Alien Registration Record (AR-2) (1940 - 1944) 3.a. Alien Registration Number (A-Number) 3.b. Fee [ ] $65 (Copy Format - Microfilm) A-File numbered below 8 million 4.a. A-File Number 4.b. Fee [ ] $65 (Copy – Hard Copy) Visa File (1924 - 1944) 5.a. Visa Number 5.b. Date of Entry (mm/dd/yyyy) 5.c. Port-of-Entry 5.d. Ship (seaport arrivals only) 5.e. Fee [ ] $65 (Copy Format – Hard Copy) Registry File (1929 - 1944) 6.a. Registry File Number ►R: 6.b. [ ] $65 (Copy Format – Hard Copy) Total Fees Due/Attached $	[Page 2] Part 3. Identification of Requested Record NOTE (C-file numbered C650000 and below): The fee for a copy of a microfilm record is $385 per request. NOTE (C-file numbered C650000 and below): The fee for a copy of a textual hard copy file is $385 per request. NOTE: If you are a researcher providing a C-file number below C-650000 obtained from any source other than the USCIS Genealogy Program, you may not know the format of the file (microfilm or hard copy). Naturalization Certificate File (1906 - 1956) 1.a. Certificate Number ►C 1.b. Date of Naturalization (mm/dd/yyyy) 1.c. Court 1.d. City 1.e. County 1.f. Fee (Select all appropriate boxes) [ ] $385 (Microfilm) [ ] $385 (Hard Copy) Non-standard C-Files (B, D, OM, OS, A, AA, OL) 2.a. Number as Shown on Certificate 2.b. Date of Issuance (mm/dd/yyyy) Alien Registration Record (AR-2) (1940 - 1944) 3.a. Alien Registration Number (A-Number) 3.b. Fee [ ] $385 (Copy Format - Microfilm) A-File numbered below 8 million 4.a. A-File Number 4.b. Fee [ ] $385 (Copy – Hard Copy) Visa File (1924 - 1944) 5.a. Visa Number 5.b. Date of Entry (mm/dd/yyyy) 5.c. Port-of-Entry 5.d. Ship (seaport arrivals only) 5.e. Fee [ ] $385 (Copy Format – Hard Copy) Registry File (1929 - 1944) 6.a. Registry File Number ►R: 6.b. [ ] $385 (Copy Format – Hard Copy) Total Fees Due/Attached $

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