Information Collection

ICE Mutual Agreement between Government and Employers (IMAGE)

IC 194480 under ICR 202001-1653-002 · OMB 1653-0048.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1653-0048 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 73-028 ICE Mutual Agreement between Government and Employers (IMAGE)	Form and Instruction
73-028 ICE Mutual Agreement between Government and Employes (IM ICE 73-028 IMAGE.pdf	Form and Instruction

IC Title:

ICE Mutual Agreement between Government and Employers (IMAGE)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

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 and Instruction	73-028	ICE Mutual Agreement between Government and Employes (IMAGE) Assessment	ICE 73-028 IMAGE.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/ALL-002 Mailing and Other Lists Systems of Records

FR Citation: 73 FR 71659

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	66	-34	100
Annual IC Time Burden (Hours)	99	-51	150
Annual IC Cost Burden (Dollars)	0	0	0

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.