Information Collection

Genealogy Records Request

IC 202018 under ICR 202401-1615-025 · 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⚠️ Notice: This information collection may be referencing outdated material.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 Form
G1041A-009-INS-FeeRule-OPSReview-FR-10242023.pdf Instruction
G1041A-009-INS-FeeRule-OPSReview-FR-10242023.pdf Instruction
G-1041A Genealogy Records Request G1041A-009-FRM-FeeRule-OPSReview-FR-10242023.pdf Form
G-1041A Genealogy Records Request G1041A-009-FRM-FeeRule-OPSReview-FR-10242023.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Genealogy Records Request	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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	G-1041A	Genealogy Records Request	G1041A-009-FRM-FeeRule-OPSReview-FR-10242023.pdf		Yes	No	Fillable Printable
Instruction			G1041A-009-INS-FeeRule-OPSReview-FR-10242023.pdf		Yes	No	Printable Only

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records
Title: USCIS, ICE and CBP 001 Alien File, Index, and National File Tracking System of Records	FR Citation: 76 FR 34233

Number of Respondents: 2,920	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	Previously Approved
Annual Number of Responses for this IC	2,920	0	2,920
Annual IC Time Burden (Hours)	926	-534	1,460
Annual IC Cost Burden (Dollars)	93,294	0	93,294

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.