Verification Request and Verification Request Supplement

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SAVE Check/ Verification Information System	Form and Instruction	Modified	Available
Verification Information System & SAVE Case Check	Form and Instruction	Modified	Repair queued
Form G-845 Supplement Verification Request Supplement	Form	Modified	Available
Form G-845 Supplement Verification Request Supplement	Form	Modified	Repair queued
Form G-845 Verification Request	Form	Modified	Available
Form G-845 Verification Request	Form	Modified	Available
G-845 REV Supporting Statement 2020.docx	Supporting Statement A	Uploaded 2020-11-10	Available
SAVE New & Existing User Profile Screens - Proposed Addition of Training Complete Checkbox.pdf	Supplementary Document	Uploaded 2020-10-22	Available
SAVE Screens With Text Boxes.pdf	Supplementary Document	Uploaded 2020-10-22	Available
privacy-piaupdate-006(b)-uscis-save-april19,2013.pdf	Supplementary Document	Uploaded 2018-03-01	Available
privacy-piaupdate-006(a)-uscis-save-july27,2012.pdf	Supplementary Document	Uploaded 2018-03-01	Available
privacy-pia-006-uscis-save-aug26,2011.pdf	Supplementary Document	Uploaded 2018-03-01	Repair queued
SORN 004 SAVE 2016 11 08.pdf	Supplementary Document	Uploaded 2018-03-01	Available
G-845 REV 30-day FRN 20201030 85FR68907.pdf	Supplementary Document	Uploaded 2020-10-30	Repair queued
G-845-Revision_60-Day-FR-85-50832-2020-18020.pdf	Supplementary Document	Uploaded 2020-10-22	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
214229	Verification Information System & SAVE Case Check	Form and Instruction	Modified	SAVE Check/ Verification Information System
214229	Verification Information System & SAVE Case Check	Form and Instruction	Modified
214228	Verification Request Supplement	Form	Modified	Verification Request Supplement
214228	Verification Request Supplement	Form	Modified
214228	Verification Request Supplement	Instruction	Modified
21025	Verification Request	Form	Modified	Verification Request
21025	Verification Request	Form	Modified
21025	Verification Request	Instruction	Modified

ICR Details

OMB Control No: 1615-0101	ICR Reference No: 202010-1615-006
Status: Historical Active	Previous ICR Reference No: 201804-1615-005
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-845
Title: Verification Request and Verification Request Supplement
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/07/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2024	36 Months From Approved	05/31/2021
Responses	19,916,993	0	23,463,209
Time Burden (Hours)	1,653,111	0	1,947,446
Cost Burden (Dollars)	64	0	204,254

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Abstract: In the verification process, a participating agency validates an applicant's immigration status by inputting identifying information into the Verification Information System (VIS), which executes immigration status queries against a range of data sources. If VIS returns an immigration status and the benefit-issuing agency does not find a material discrepancy with the response and the documents provided by the applicant, the verification process is complete. Then, the agency may use that immigration status information in determining whether or not to issue the benefit. In some cases, agencies that do not access the automated verification system may query USCIS by filing Form G-845. Although the Form G-845 does not require it, if needed certain agencies may also file the Form G-845 Supplement with the Form G-845, along with copies of immigration documents to receive additional information necessary to make their benefit determinations. These forms were developed to facilitate communication between all benefit-granting agencies and USCIS to ensure that basic information required to assess status verification requests is provided. USCIS is making minor revisions to the Form G-845 and is streamlining the Form G-845 Supplement with additional immigration statuses that are commonly requested by agencies in order to make their benefit determinations.

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Authorizing Statute(s): PL: Pub.L. 104 - 208 642 Name of Law: Illegal Immigration Reform and Immigrant Responsibility Act
   PL: Pub.L. 99 - 603 121 Name of Law: Immigration Reform and Control Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 50832	08/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 68907	10/30/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Verification Information System & SAVE Case Check	N/A	SAVE Check/ Verification Information System
Verification Request	G-845	Verification Request
Verification Request Supplement	G-845 Supplement	Verification Request Supplement

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	19,916,993	23,463,209	0	0	-3,546,216	0
Annual Time Burden (Hours)	1,653,111	1,947,446	0	0	-294,335	0
Annual Cost Burden (Dollars)	64	204,254	0	0	-204,190	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a decrease in the estimated annual time burden as a result of a decrease in the estimated number of respondents. Other program changes including the addition of two minor quires, are de minimis in their time burden and do not result in a change to the estimate time burden. There is a decrease in the estimated annual cost burden of this information collection due to the program moving towards requiring e-filing of the G-845. There are no other programmatic changes.

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Annual Cost to Federal Government: $9,959,356

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 01/07/2021

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