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CopyDeck-Verification Information System & SAVE Case Check-007-60Day-09252023.pdf

Verification Request and Verification Request Supplement

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OMB: 1615-0101

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Form Number and Name
OMB Number
Form Edition Date:
Form Expiration Date:

Verification Information System & SAVE Case Check
1615-0101
4/30/2024

Revision Key

Description

• All original (old) text is black.

Example

Original

1. Oranges
• All original text is black.
• Any text that is removed from original column 2. Bananas
3. Apple
is shown with a strikethrough and in red.

4. Pineapple

Revised

1. Oranges
2. Bananas
3. Apple
4. Pineapple

Sign In page
Screen Title

System Use
Agreement

Section

Use Agreement

Revised Section

Body Text

You are about to access a Department of Homeland Security computer
system. This computer system and data therein are property of the U.S.
Government and provided for official U.S. Government information and
use. There is no expectation of privacy when you use this computer
system. The use of a password or any other security measure does not
establish an expectation of privacy. By using this system, you consent to
the terms set forth in this notice. You may not process classified national
security information on this computer system. Access to this system is
restricted to authorized users only. Unauthorized access, use, or
modification of this system or of data contained herein, or in transit
to/from this system, may constitute a violation of section 1030 of title 18
of the U.S. Code and other criminal laws. Anyone who accesses a Federal
computer system without authorization or exceeds access authority, or
obtains, alters, damages, destroys, or discloses information, or prevents
authorized use of information on the computer system, may be subject to
penalties, fines, or imprisonment. This computer system and any related
equipment is subject to monitoring for administrative oversight, law
enforcement, criminal investigative purposes, inquiries into alleged
wrongdoing or misuse, and to ensure proper performance of applicable
security features and procedures. DHS may conduct monitoring activities
without further notice.

Revised Body Text

Data Entry Fields/Option Selections

Revised Data Entry Fields/Option
Selections

Field Type Required? Notes

I Agree

Button

Yes

click here

Link

User ID (required)
Forgot User ID
Password
Forgot Password
Show Password
Sign In

Text Field
Link
Text Field
Link
Button
Button

Yes
No
Yes
No
No
Yes

Button

No

Button

No

By clicking “I agree” below or by using this system, you consent to the
terms set forth in this notice.
[alert] If you are an employee of the Social Security Administration , click
here.
Sign In

USCIS may not conduct or sponsor an information
collection, and you are not required to respond to a
collection of information, unless it displays a currently valid
Office of Management and Budget (OMB) control number.
The public reporting burden for this collection of
information is estimated at 5 minutes per response,
including the time for reviewing instructions, gathering the
required documentation and information, completing the
request, preparing statements, attaching necessary
Paperwork Reduction Act
documentation, and submitting the request. Send
comments regarding this burden estimate or any other
aspect of this collection of information, including
suggestions for reducing this burden, to: U.S. Citizenship and
Immigration Services, Office of Policy and Strategy,
Regulatory Coordination Division, 5900 Capital Gateway
Drive, Mail Stop #2140, Camp Springs, MD 20588-0009;
OMB No. 1615-0101. Do not mail your completed
verification requests to this address.

Sign In page

Legal

The information provided by this system is subject the Privacy Act of 1974
(5 U.S.C. 552a) and must be protected from unauthorized disclosure or
secondary uses. In accordance with the Privacy Act, the information
collected and provided to authorized agencies pursuant to this system is
covered by the System of Records notice "DHS/USCIS-Systematic Alien
Verification for Entitlements Program System of Record" September 21,
2011, 76 FR 58525.

Privacy Act

Initial Verification Process
Screen Title

Section

Revised Section

Body Text
Please fill out as many enumerators as are
available to you. At least one enumerator
is required. The more information
provided the higher the chance of
returning a verification result on initial
verificaiton. For help finding where
enumerators are located on immigation
documents, please see the guide on
Commonly Used Immigration Documents.

Revised Body Text

Data Entry Fields/Option Selections

Revised Data Entry Fields/Option
Selections

Field Type

Commonly Used Immigration Documents

Link

Alien/USCIS Number
SEVIS Identifier
I-94 Number (I-94#)
Passport Number
Naturalization/Citizenship Number
Card Number/I-797 Receipt Number
Visa Number

Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field

Various Form Types and Other
Documents shown as options

Checkbox

Required?

Notes

No
No
No
No
No
No
No

No

When requesting initial
verification, user will have option
to select one or more
immigration document types
reviewed to obtain and provide
immigration identification
numbers of the applicant.
After an agency enters the
required information into the
SAVE System to verify an
applicant’s immigration status
against DHS records, within
seconds the system returns a
SAVE response containing the
Case Verification Number, initial
verification data entered, and
the initial verification results.

After an agency enters the
required information into the
SAVE System to verify an
applicant’s immigration status
against DHS records, within
seconds the system returns a
SAVE response containing the
Case Verification Number, initial
verification data entered, and
the initial verification results.

Applicant Status: Includes identified
status and defitinion.

SAVE Response

Employment Authorization History

See Guide to Understaning SAVE
Verification Responses for additional
information. You will need to follow your
agency's policy when determining
whether this applicant is eligible for
benefits.

Guide to Understaning SAVE Verification
Responses

Link

Not Applicable OR shows information
provided.
Case Verification Number

SAVE Response Details
Initial Verification Screen

Agency Submitted Details

COA Code
Country of Citizenship
Date Admitted To
Grant Date
Full Name
Date of Birth
Alien Number
I-94 Number
Intiated On
Initiated By
Point of Contact Name
Point of Contact Phone Number
(202) 300-0000
Requested Benefits
Agency Requests
Attached Document (None or shows
attached document )

Text Field
(pre-populated)

Close Case
Close Case and Create New Case
Still not sure? Institute Additional
Verification

Button
Button
Link

No
No

Additional Verification Process with Document Requirement (NEW)
Screen Title

Section

Current Addition Verificaiton Screen

Revised Section

Body Text

Revised Body Text

Data Entry Fields/Option Selections

Enter any additional comments here

Special Comments

EADS, Grant Date, Cuban/Haitian Entrant,
Cuban/Haitian Immigration Details,
Immigration Status Details, Immigration Status
as of 8/22/1996, VAWA, Citizenship Status

Agency Requests (options)

SAVE needs a copy of the applicant's
immigration documentation in order to
Upload File (required)
perform additional verification. Please upload a
copy below.

Revised Data Entry Fields/Option
Selections

Field Type

Required?

Text field

No

Buttons

Yes

Drag file to upload or browse to
upload file.

Link

Yes

Initiate Additional Verification
Close Case
Close Case and Create New Case

Button
Button
Button

Yes
No
No

Notes

Current process allows users to upload a file,
however the IAV button can be selected
even if a file is not uploaded. New process
will require document uplaod and the IAV
button will be grayed out until doument
uploaded by agency.

Upload a Document
To obtain a SAVE verification you must upload a
copy of the applicant's immigration documents.
Note:
-multiple documents should be uploaded as a
single file
-File upload format must be .jpeg or .pdf
-If an applicant is presenting multiple
immigration documents and you are unable to
upload them all, please submit the most
recently issued document(s)

New Addition Verification Screen with Document Requirement

Upload a Document

Selected file
(i.e. uploaded document (Newinformation.pdf )
appears on screen)

New Addition Verification Screen with Document Requirement
(once document is uploaded)

Drag a file here or choose from folder.

Close Case
Close Case and Create New Case

Institute Additional Verification (grayed
out until document uploaded)

Link

Yes

Button

Yes

Button
Button

No
No

Current process allows users to upload a file,
however the IAV button can be selected
even if a file is not uploaded. New process
will require document uplaod and the IAV
button will be grayed out until doument
uploaded by agency.

Yes

Uploading a document can reduce the amount
of verification time.
Change file
Initiate Additional Verification (Green
button)
Close Case
Close Case and Create New Case

Link

No

Button

Yes

Button

No

Button

No

Case Status: Once Institue Additional
Verification Button is seletced, the case will
be escalated to SAVE and be identified as
"Case Under Review."

Stages of Process are shown: (1) Case Creation (2) Photo Match - (3) Additional Verification (4) Case Result - (5) Case Closure
Create a New Case

In addition to the applicant's immigration
status, your agency has asked that we provide
you with the following information (if available)
in order to determine the applicant's eligibility.
EADS
Grant Date
Cuban/Haitian Immigran Details
Immigration Status Details
Immigration Status as of 8/22/1996
VAWA
Request Document Review
Citizen Review

Agency Requests
Select all information that apply:

Expected a different immigration status
If selected: Please provide details

If radio button selected, a free text field
appears.

Button/Drop Down field appears

Date information is needed
Additional Verification
Response

Additional Verification Reason (required)

Select all dates that are needed

Please provide a reason for escalating this case
for additional verification.

If selected, the following appear on a drop
down menu for selection:
[check mark]-SelectEAD Date
Grant Date
Date Admitted To
Other

New Additional Verification Screen with Reason Requirement

If selected: Please provide details

Upload a Document

Selected file
(i.e. uploaded document (Newinformation.pdf )
appears on screen)

Agency Submitted Details

Full Name
Date of Birth
Alien / USCIS Number
SEVIS Identifier
I-94 Number (I-94 #)
Passport Number
Naturalization/ Citizenship Number
Card Number/ I-797 Receipt Number
Visa Number
Intiated On
Initiated By
Point of Contact Name
Point of Contact Phone Number
(202) 300-0000
Requested Benefits
Agency Requests
Attached Document (None or shows attached
document )

Drag a file here of choose from a folder.

Button/Drop Down menu appears

Yes
[select one] If radio button selected, a drop down menu
appears.

If radio button selected, a free text field
appears.

Button/Drop Down field appears

Link

Yes

Change file

Link

No

Review Case Details

Button

No

Uploading a document can reduce the amount
of verification time.

Text Field
(pre-populated)

After the IAV button is selected, the process
will remain the same, and the case will be
escalated to ‘Case Under Review’ while the
SAVE reviews the case.

SAVE Response

Additional Verification |
Case Status: Case Under
Review

[alert] Case Under Review
This case is under review by the Status
Verification Office (SVO). This does not mean
the applicant isn’t entitled to benefits, but
further research is being conducted. Responses
from SVO typically take 40 federal working days
to be returned.
Text Field
(pre-populated)

Case Verification Number

Completion of Additional Verification Process

Agency Submitted Details

Once document is uploaded, this field
appears.

Full Name
Date of Birth
Alien / USCIS Number
SEVIS Identifier
I-94 Number (I-94 #)
Passport Number
Naturalization/ Citizenship Number
Card Number/ I-797 Receipt Number
Visa Number
Intiated On
Initiated By
Point of Contact Name
Point of Contact Phone Number
(202) 300-0000
Requested Benefits
Agency Requests
Attached Document (None or shows attached
document )

Text Field
(pre-populated)

Exit and Return to Search

Button

No

Exit and Return to Search

Button

No

Button

No

Enter any additional comments here

Text Field

No

EADS, Grant Date, Cuban/Haitian Entrant,
Cuban/Haitian Immigration Details,
Immigration Status Details, Immigration Status
as of 8/22/1996, VAWA, Citizenship Status

Agency Requests (options)

Buttons (pre-populated and options
No
shown)

SAVE needs a copy of the applicant's
immigration documentation in order to
performa additional verification. Please upload
a copy below

Drag file to upload or browse to
upload file.

Link

Yes

Button

Yes

[alert] Institute Additional Verification With
Document
SAVE was unable to verify the applicant's status
on electronic initial verification. There may
have been an issue eletronically locating the
records or additional verification may be
require due to conflicting data or the nature of
the applicant's status. This is not a final
response and should not be used to determine
benefit eligibility. Please Institute Additional
Verification so SAVE can conduct more research
and return the correct status.

SAVE Response Details

Case Verification Number

Employment Authorization
History

Populates based on information entered or
states "Not Applicable"

Special Comments

Upload File (required)
Reason For Agency Closing a Case when Prompted to Institute Additional
Verification

Edit Case Details

Institute Additional Verification (grayed
out until document uploaded)

Upon selecting edit case button screen will
return to applicant information screen

Agency Submitted Details

Full Name
Date of Birth
Alien / USCIS Number
SEVIS Identifier
I-94 Number (I-94 #)
Passport Number
Naturalization/ Citizenship Number
Card Number/ I-797 Receipt Number
Visa Number
Intiated On
Initiated By
Point of Contact Name
Point of Contact Phone Number
(202) 300-0000
Requested Benefits
Agency Requests
Attached Document (None or shows attached
document )

Close Case

Button

No

Close Case and Create New Case

Button

No

[] Approved benefit
[] Denied benefit (includes an open text
field to describe basis for denial or benefit)
[] Data entry error (includes an open text
field to describe data entry error)
[] Duplicate case

Checkbox

Yes

Current process if selecting "Close Case"
button after prompted to Institue
Additional Verificaiton, the case will just
close and the user is not required to take
any further action.

For new process, if user chooses to "Close
Case" after prompted to Institute Additional
Verification, the user will be required to
select a reason for closing the case.


File Typeapplication/pdf
AuthorStout, Samantha J
File Modified2023-09-26
File Created2023-09-26

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