Information Collection

Verification Request

IC 21025 under ICR 202401-1615-003 · OMB 1615-0101.

Documents and Forms

Document Name Document Type
Form G-845 Verification Request Form
g-845instr.pdf Instruction
G-845 Verification Request g-845.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Verification Request	Agency IC Tracking Number:	G-845

Is this a Common Form? No		IC Status: Removed

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	G-845	Verification Request	g-845.pdf		Yes	No	Fillable Printable
Instruction			g-845instr.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: SAVE Program SORN	FR Citation: 77 FR 47415

Number of Respondents: 7	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-7	7
Annual IC Time Burden (Hours)	-1	1
Annual IC Cost Burden (Dollars)	-9	9

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.