Verification Request Supplement

Verification Request and Verification Request Supplement

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0101 can be found here:

Documents and Forms

Document Name Document Type
Form G-845 Supplement Verification Request Supplement Form
g-845supinstr.pdf Instruction
g-845supinstr.pdf Instruction
G-845 Supplement Verification Request Supplement g-845sup.pdf Form
G-845 Supplement Verification Request Supplement g-845sup.pdf Form

Information Collection (IC) Details

IC Title:	Verification Request Supplement	Agency IC Tracking Number:	G-845 Supplement

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	G-845 Supplement	Verification Request Supplement	g-845sup.pdf		Yes	No	Fillable Printable
Instruction			g-845supinstr.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: SAVE Program SORN	FR Citation: 77 FR 47415

Number of Respondents: 44	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	44	-7,078	7,122
Annual IC Time Burden (Hours)	4	-587	591
Annual IC Cost Burden (Dollars)	55	55	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.