G-1041a INS TOC

TABLE OF CHANGES – INSTRUCTIONS

Form G-1041A, Genealogy Records Request

OMB Number: 1615-0096

Date 06/02/2020

Reason for Revision: Fee Rule

Project Phase: Post G-1056

• Please note – all instances of “if any” and “if applicable” have been removed from Instructions for Form G-1041A.

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		[Page 1] NOTE: You can complete and file this form online at www.uscis.gov/G-1041A and save $10.
Page 2-3, How Are Historical Records and Files Identified?	[Page 2] … Provide: The certificate number obtained from prior Form G-1041, if applicable. Provide: The certificate number obtained from prior Form G-1041, if applicable. Provide: The certificate number obtained from prior Form G-1041, if applicable. …	[Page 2] … Provide: The certificate number obtained from prior Form G-1041. Provide: The certificate number obtained from prior Form G-1041. Provide: The certificate number obtained from prior Form G-1041. …
Page 4, What is the Filing Fee?	[Page 4] … 1. The fee for a copy from microfilm is $65 per request; and 2. The fee for a copy from hard copy file is $65 per request. … You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your check is returned as unpayable, USCIS will re-submit the payment to the financial institution one time. If the check is returned as unpayable a second time, we will reject your request and charge you a returned check fee. … 2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or hard of hearing) call: 1-800-767-1833.	[Page 4] … 1. The fee for a copy from microfilm is $265 per request; and 2. The fee for a copy from hard copy file is $265 per request. … You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your check is returned as unpayable, we may reject your request. … 2. Call the USCIS Contact Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
Page 5, DHS Privacy Notice	[page 5] … DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, presents USCIS from processing your request. …	[page 5] … DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number, and any requested evidence, may delay a final decision or result in a rejection or denial of your request. …

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