OMB
.report
Search
Freedom of Information/Privcy Act Request
Freedom of Information/Privcy Act Request
OMB: 1615-0102
IC ID: 21021
OMB.report
DHS/USCIS
OMB 1615-0102
ICR 200808-1615-008
IC 21021
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0102 can be found here:
2024-11-18 - Extension without change of a currently approved collection
2022-10-27 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form G-639
Freedom of Information/Privcy Act Request
Form and Instruction
Form G-639 Freedom of Information/Privcy Act Request
G-639 Form and Instr.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Freedom of Information/Privcy Act 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 and Instruction
Form G-639
Freedom of Information/Privcy Act Request
G-639 Form and Instr.pdf
Yes
No
Fillable Printable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Homeland Security
Subfunction:
Border and Transportation Security
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
100,000
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
100,000
0
0
0
0
100,000
Annual IC Time Burden (Hours)
25,000
0
0
0
0
25,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.