Information Collection

E-Verify Self Check - Self Check Query

IC 210424 under ICR 202310-1615-002 · OMB 1615-0117.

Documents and Forms

Document Name Document Type
E-Verify Self Check - Self Check Query Form and Instruction
Self Check Content Document myEV Screens as of Oct 20 with myUploads.pptx Form and Instruction
Self Check Content Document myEV Screens as of Oct 20 with myUploads.pptx Form and Instruction
Self Check Content Document_ScreenShots 7-22-14.docx E-Verify Self-Check Screenshots (Comprehensive) IC Document
Self Check Content Document_ScreenShots 7-22-14.docx E-Verify Self-Check Screenshots (Comprehensive) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	E-Verify Self Check - Self Check Query	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Self Check Content Document	myEV Screens as of Oct 20 with myUploads.pptx		Yes	Yes	Fillable Fileable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: DHS/USCIS-013 E-Verify Self-Check	FR Citation: 76 FR 9034

Number of Respondents: 75,000	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	75,000	75,000
Annual IC Time Burden (Hours)	6,248	6,248
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
E-Verify Self-Check Screenshots (Comprehensive)	Self Check Content Document_ScreenShots 7-22-14.docx	07/24/2014

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