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Verification Request
Verification Request and Verification Request Supplement
OMB: 1615-0101
IC ID: 21025
OMB.report
DHS/USCIS
OMB 1615-0101
ICR 202401-1615-003
IC 21025
( )
Documents and Forms
Document Name
Document Type
Form G-845
Verification Request
Form
g-845instr.pdf
Instruction
G-845 Verification Request
g-845.pdf
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Verification Request
Agency IC Tracking Number:
G-845
Is this a Common Form?
No
IC Status:
Removed
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
Verification Request
g-845.pdf
Yes
No
Fillable Printable
Instruction
g-845instr.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
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:
7
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
0 %
Requested
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
0
0
-7
0
0
7
Annual IC Time Burden (Hours)
0
0
-1
0
0
1
Annual IC Cost Burden (Dollars)
0
0
-9
0
0
9
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.