Information Collection

ICE Mutual Agreement between Government and Employers (IMAGE)

IC 194480 under ICR 202411-1653-005 · OMB 1653-0048.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 73-028 ICE Mutual Agreement between Government and Employes (IMAGE) Assessment ICE Mutual Agreement between Government and Employers (IMAGE)	Form and Instruction
73-028 ICE Mutual Agreement between Government and Employes (IM ICE Form 73-028.pdf	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	73-028				Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: DHS/ALL-002 Mailing and Other Lists Systems of Records

FR Citation: 73 FR 71659

Number of Respondents: 66

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	66	66
Annual IC Time Burden (Hours)	99	99
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.

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