Information Collection

Genealogy Records Request (Electronic)

IC 202017 under ICR 201510-1615-004 · OMB 1615-0096.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0096 can be found here:

Documents and Forms

Document Name Document Type
Form G-1041A Genealogy Records Request (Electronic) Form and Instruction
Burden Disclosure Notice Eforms 1041 1041A 2012-4-27.docx Other-Burden Disclosure Front Page
G-1041A Genealogy Records Request Screen Shots.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Genealogy Records Request (Electronic)	Agency IC Tracking Number:	G-1041A

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Voluntary

CFR Citation: 8 CFR 103

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	G-1041A	Genealogy Records Request	Screen Shots.pdf		Yes	Yes	Fillable Fileable
Other-Burden Disclosure Front Page			Burden Disclosure Notice Eforms 1041 1041A 2012-4-27.docx		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS, ICE and CBPÂ001 Alien File, Index, and National File Tracking System of Records	FR Citation: 76 FR 34233

Number of Respondents: 1,683	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-1,683	1,683
Annual IC Time Burden (Hours)	-842	842
Annual IC Cost Burden (Dollars)	0	0

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.