Genealogy Index Search Request and Genealogy Records Request

Forms and Documents

Document Name	Status
Form G-1041 Genealogy Index Search Request (Electronic) Form and Instruction	Modified
Form G-1041A Genealogy Records Request (Submission by Mail) Form	New
Form G-1041A Genealogy Records Request (Electronic) Form and Instruction	New
Form G-1041 Genealogy Index Search Request (Submitted by Mail) Form	New
30-Day FRN 1615-0096 2012-4-20.pdf Supplementary Document	2012-04-27
G-1041 and G-1041A Supporting Statement 2012-4-27..doc Supporting Statement A	2012-04-27
PTA USCIS-Form G-1041 and G-1041A 20120404 PRIV final.pdf Supplementary Document	2012-04-12
G-1041A Instructions TOC 1-10-2012 ca.doc Supplementary Document	2012-04-12
G-1041 Instructions TOC 12-06-12011.doc Supplementary Document	2012-04-12
60 Day Notice Published 2-16-2012.pdf Supplementary Document	2012-04-11
DHS All --001 FOIA and PIA Records System of Records.mht Supplementary Document	2012-04-11
PIA, USCIS-FIPS, 20110614, [signed].pdf Supplementary Document	2012-04-11
Screen Shots.pdf Supplementary Document	2009-04-22
References.doc Supplementary Document	2009-03-02

IC Document Collections

IC ID	Document Title	Status
20431	Genealogy Index Search Request (Electronic) Form and Instruction	Modified
202018	Genealogy Records Request (Submission by Mail) Form	New
202017	Genealogy Records Request (Electronic) Form and Instruction	New
202016	Genealogy Index Search Request (Submitted by Mail) Form	New

ICR Details

OMB Control No: 1615-0096	ICR Reference No: 201204-1615-002
Status: Historical Active	Previous ICR Reference No: 200902-1615-007
Agency/Subagency: DHS/USCIS	Agency Tracking No: G-1041 and G-1041A
Title: Genealogy Index Search Request and Genealogy Records Request
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/17/2012
	Date Received in OIRA: 04/30/2012
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2015	36 Months From Approved	12/31/2012
Responses	6,156	0	26,597
Time Burden (Hours)	3,079	0	13,299
Cost Burden (Dollars)	0	0	602,860

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Abstract: The Genealogy Program is necessary to provide a more timely response to requests for genealogical and historical records. Form G-1041 is provided as a convenient means for persons to provide data necessary to perform a search of historical agency indices. Form G-1041A provides a convenient means for persons to identify a particular record desired under the Genealogy Program. The forms provide rapid identification of such requests and ensures expeditious handling. Persons such as researchers, historians, and social scientists seeking ancestry information for genealogical, family history and heir location purposes will use Forms G-1041 and G-1041A.

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Authorizing Statute(s): US Code: 8 USC 1356 Name of Law: U.S. Code
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 9259	02/16/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 23735	04/20/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Genealogy Index Search Request (Submitted by Mail)	G-1041	Genealogy Index Search Request,
Genealogy Records Request (Electronic)	G-1041A	Genealogy Records Request
Genealogy Records Request (Submission by Mail)	G-1041A	Genealogy Records Request
Genealogy Index Search Request (Electronic)	G-1041	Genealogy Records Request

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	6,156	26,597	0	0	-20,441	0
Annual Time Burden (Hours)	3,079	13,299	0	0	-10,220	0
Annual Cost Burden (Dollars)	0	602,860	0	0	-602,860	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There has been a decrease of 8,816 burden hours associated with this information collection. This is related to a decrease in the estimated number of respondents that avail themselves to requesting historical records. The Agency previously reported the cost associated with the wage rate for the respondents, which is not required, and that amount has been removed. USCIS has made some non-substantive changes to the instructions on how to submit these requests, to clarify the filing instructions and update the Privacy and Paperwork Reduction Act-related languages in the form.

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Annual Cost to Federal Government: $179,330

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/30/2012

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