Table of Changes

TABLE OF CHANGES – INSTRUCTIONS

FORM G-646

March 7, 2012

LOCATION	CURRENT VERSION	PROPOSED VERSION
Page 1 (Privacy Act Notice)	We ask for the information on this form, and associated evidence, to determine if you are eligible for the immigration benefit you seek. Failure to provide requested information and/or evidence may delay a final decision or result in denial of your immigration benefit. We may provide this information to other government agencies.	AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act, section 101, et seq. PURPOSE: The primary purpose for providing the requested information on this form is to determine if you have established eligibility for the immigration benefit for which you are filing. The information you provide will be used to grant or deny the benefit sought. DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision or result in denial of your form. ROUTINE USES: The information you provide on this form may be shared with other Federal, State, and local government agencies, and authorized organizations following approved routine uses described in the associated published system of records notices [DHS-USCIS-001 - Alien File, Index, and National File Tracking System (June 13, 2011, 76 FR 32443) and  DHS/USCIS-010 - Asylum Information and Pre-Screening  (January 5, 2010, 75 FR 409) and described in the associated published system of records notices which can be found at ww.dhs.gov/privacy]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.
Page 1 (Paper work 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 OMB control number. The public reporting burden for this collection of information is estimated at 20 minutes per response, including the time for reviewing instructions, and completing and submitting the form. 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 Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2210, OMB No. 1615-0097. This form expires June 30, 2012. Do not mail Form G-646 to this address.	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 OMB control number. The public reporting burden for this collection of information is estimated at 20 minutes per response, including the time for reviewing instructions, and completing and submitting the form. 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 Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2210, OMB No. 1615-0097. Do not mail Form G-646 to this address.

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