Information Collection

National Survey of E-Verify Employers Pretest

IC 231578 under ICR 201801-1615-002 · OMB 1615-0126.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0126 can be found here:

Documents and Forms

Document Name Document Type
Attachment A-1 Employers and EEAs Verifying Only Own Workers.docx Other-Prestest- Employers and EEA Ve
Attachment A-2 EEAs Verifying Only Clients' Workers.docx Other-Pretest- EEA Verification - Cl
Attachment A-3 EEAs Verifying Both Clients and Own Workers.docx Other-Pretest - EEA Verification - C
Attachment A-4 Clients of EEAs.docx Other-Pretest - Survey for Clients o
Attachment C Revised Pretest Recruiting Script.docx Other-Recruiting Script
Attachment D Moderator Guide for Focus Groups.docx Other-Moderator Guide
SS - Pretest 2018 E-Verify Employer Survey (final).docx Mini-Supporting Statement IC Document
SORN - E-Verify.docx System of Records Notice IC Document
PIA - E-Verify Program.pdf Privacy Impact Assessment IC Document
Attachment B USCIS Letter of Invitation.docx USCIS Letter of Invitation IC Document
Attachment E Westat Confirmation Letter.doc Confirmation Letter IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	National Survey of E-Verify Employers Pretest	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Prestest- Employers and EEA Verification	Attachment A-1 Employers and EEAs Verifying Only Own Workers.docx	Yes	No	Fillable Printable
Other-Pretest- EEA Verification - Client Workers	Attachment A-2 EEAs Verifying Only Clients' Workers.docx	Yes	No	Fillable Printable
Other-Pretest - EEA Verification - Client and Own Workers	Attachment A-3 EEAs Verifying Both Clients and Own Workers.docx	Yes	No	Fillable Printable
Other-Pretest - Survey for Clients of EEA	Attachment A-4 Clients of EEAs.docx	Yes	No	Fillable Printable
Other-Recruiting Script	Attachment C Revised Pretest Recruiting Script.docx	Yes	No	Fillable Printable
Other-Moderator Guide	Attachment D Moderator Guide for Focus Groups.docx	Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS 011 E-Verify Program System of Records	FR Citation: 79 FR 46852

Number of Respondents: 130	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	130	130
Annual IC Time Burden (Hours)	80	80
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Mini-Supporting Statement	SS - Pretest 2018 E-Verify Employer Survey (final).docx	05/25/2018
System of Records Notice	SORN - E-Verify.docx	05/25/2018
Privacy Impact Assessment	PIA - E-Verify Program.pdf	05/25/2018
USCIS Letter of Invitation	Attachment B USCIS Letter of Invitation.docx	05/25/2018
Confirmation Letter	Attachment E Westat Confirmation Letter.doc	05/25/2018

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.