Information Collection

Genealogy Records Request

IC 202018 under ICR 202408-1615-009 · OMB 1615-0096.

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: 185	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	185	-2,735	2,920
Annual IC Time Burden (Hours)	59	-867	926
Annual IC Cost Burden (Dollars)	5,911	-87,383	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.