Information Collection

Genealogy Records Request (paper)

IC 202018 under ICR 202607-1615-005 · OMB 1615-0096.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form G-1041A Genealogy Records Request Genealogy Records Request (paper)	Form
G1041A-011-INS-GenealogyNPRM-08212026.pdf	Instruction
G-1041A Genealogy Records Request G1041A-011-FRM-GenealogyNPRM-08212026.pdf	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

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	G-1041A				Yes	No	Fillable Printable
Instruction					Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS, ICE and CBP 001 Alien File, Index, and National File Tracking System of Records

FR Citation: 76 FR 34233

Number of Respondents: 185

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	185	185
Annual IC Time Burden (Hours)	59	59
Annual IC Cost Burden (Dollars)	5,911	5,911

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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