OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Genealogy Index Search Request and Genealogy Records Request

ICR 201610-1615-011 · OMB 1615-0096 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form G-1041A Genealogy Records Request Form Modified Available
Form G-1041 Genealogy Index Search Request Form Modified Available
G-1041 83C.pdf Justification for No Material/Nonsubstantive Change Uploaded 2016-10-24 Repair queued
G1041A-TOC-2016FeeRule-83C-09092016.docx Supplementary Document Uploaded 2016-10-20 Repair queued
G1041A-TOC-2016 FeeRule-83C-FRM-09212016.docx Supplementary Document Uploaded 2016-10-20 Available
G1041-TOC-2016FeeRule-83C-09092016.docx Supplementary Document Uploaded 2016-10-20 Repair queued
G1041-TOC-2016Fee Rule-83C-FRM-09062016.docx Supplementary Document Uploaded 2016-10-20 Repair queued
10 25 16 Supporting Statement G-1041 G-1041A.doc Supporting Statement A Uploaded 2016-10-25 Available
IC Document Collections
IC IDCollectionTypeStatusForm
202018 Genealogy Records Request Form Modified
202016 Genealogy Index Search Request Form Modified
ICR Details
1615-0096 201610-1615-011
Historical Active 201510-1615-004
DHS/USCIS G-1041 and G-1041A
Genealogy Index Search Request and Genealogy Records Request
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved with change 10/31/2016
Retrieve Notice of Action (NOA) 10/26/2016
USCIS may continue to use the previous version of the instrument until December 23, 2016.
  Inventory as of this Action Requested Previously Approved
05/31/2019 05/31/2019 05/31/2019
6,860 0 6,860
3,430 0 3,430
25,726 0 25,726
The Genealogy Program is necessary to provide a more timely response to requests for genealogical and historical records. Form G-1041 is provided as a convenient means for persons to provide data necessary to perform a search of historical agency indices. Form G-1041A provides a convenient means for persons to identify a particular record desired under the Genealogy Program. The forms provide rapid identification of such requests and ensures expeditious handling. Persons such as researchers, historians, and social scientists seeking ancestry information for genealogical, family history and heir location purposes will use Forms G-1041 and G-1041A.
US Code: 8 USC 1356 Name of Law: U.S. Code
  
None
Not associated with rulemaking
  80 FR 46315 08/04/2015
80 FR 79923 12/23/2015
No
2
IC Title Form No. Form Name
Genealogy Index Search Request G-1041 Genealogy Index Search Request,
Genealogy Records Request G-1041A Genealogy Records Request
  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 6,860 6,860 0 0 0 0
Annual Time Burden (Hours) 3,430 3,430 0 0 0 0
Annual Cost Burden (Dollars) 25,726 25,726 0 0 0 0
No
No
There has been an increase of 351 burden hours with respect to the total burden hours previously reported for this information collection. This change can be attributed to a projected increase in the estimated number of respondents from 6,156 respondents to 6,860 based on updated statistical projection data. Additionally, USCIS is revising this information collection by making changes to the instructions and forms to improve the overall organization of its content and provide clarity. Standardized language has also been added to conform to USCIS forms’ general common language.During the previous submission, no out-of-pocket expenses were calculated. There has been an increase of $3,187.5 annual cost burden which accounts for the out-of-pocket cost that respondents may incur .
$205,352
No
No
No
No
No
Uncollected
Jameela Turay 703 305-9445 [email protected]
  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.
10/26/2016