Instructions For Genealogy Index Search Request (Form G-1041) (Page 5 of 5) in pdf

Instructions For Genealogy Index Search Request (Form G-1041) Page 5

Paperwork Reduction Act

An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection

of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The

public reporting burden for this collection of information is estimated at 30 minutes per response, including the time for

reviewing instructions, gathering the required documentation and information, completing the request, attaching necessary

documentation, and submitting the request. Send comments regarding this burden estimate or any other aspect of this

collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services,

Regulatory Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW, Washington, DC 20529-

2140; OMB No. 1615-0096. Do not mail your completed Form G-1041 to this address.

Form G-1041 Instructions 12/23/16 N

Page 5 of 5

Instructions For Genealogy Index Search Request (Form G-1041) Page 5