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Federal forms, ICRs, and supporting documents

Information Collection Request

Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program

ICR 200311-1653-002 · OMB 1653-0033 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
21027 Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program Migrated
ICR Details
1653-0033 200311-1653-002
Historical Active 200303-1653-034
DHS/USICE
Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program
Revision of a currently approved collection   No
Regular
Approved without change 07/08/2004
Retrieve Notice of Action (NOA) 11/25/2003
  Inventory as of this Action Requested Previously Approved
07/31/2007 07/31/2007 07/31/2004
5,000 0 5,000
6,650 0 7,915
0 0 0
Employers electing to participate in a pilot will execute a Memorandum of Understanding with the INS and the SSA (if applicable), that provides the specific terms and conditions governing the pilot and company information for each site that will be performing employment verification queries.
None
None
No
1
IC Title Form No. Form Name
Memorandum of Understanding to Participate in Employment Eligibility Confirmation Pilot Program
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,000 5,000 0 0 0 0
Annual Time Burden (Hours) 6,650 7,915 0 0 -1,265 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/25/2003