Information Collection

Document Verification Request and Document Verification Request Supplement

IC 21025 under ICR 200805-1615-019 · OMB 1615-0101.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0101 can be found here:

Documents and Forms

Document Name Document Type
Form Supplement to G-84 Document Verification Request and Document Verification Request Supplement Form
Supplement to G-84 Supplement to Document Verification Request G-845 Supplement 5-13-08.pdf Form
G-845 Document Verification Request G-845 05-13-08.pdf Form and Instruction
G-845S Document Verification Request G-845S 05-13-08.pdf Form and Instruction
No Number Verification Information System VIS-CPSScreenShots 3-24-08.doc https//www.vis-dhs.com/WebOne Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Document Verification Request and Document Verification Request Supplement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	Supplement to G-845	Supplement to Document Verification Request	G-845 Supplement 5-13-08.pdf		Yes	No	Fillable Printable
Form and Instruction	G-845	Document Verification Request	G-845 05-13-08.pdf		Yes	No	Fillable Printable
Form and Instruction	G-845S	Document Verification Request	G-845S 05-13-08.pdf		Yes	No	Fillable Printable
Form	No Number	Verification Information System	VIS-CPSScreenShots 3-24-08.doc	https//www.vis-dhs.com/WebOne	Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,238,232	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	10,238,232	9,738,232	500,000
Annual IC Time Burden (Hours)	849,773	808,273	41,500
Annual IC Cost Burden (Dollars)	1,802,574	-18,242,426	20,045,000

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.