Table of Changes Form

TABLE OF CHANGES –FORM

FORM I-566, Interagency Record of Request

OMB Number: 1615-0027

Submission Date 03/18/2013

Reason for Revision: Add data collections to capture supplemental information necessary for adjudication if I-94 number was not available to the applicant/petitioner.

Current Section and Page Number	Current Text	Proposed Text
Form Footer	Barcode (used for distribution purposes) Copy 1: USCIS Copy 2: DOS/NATO/HQ SACT/USUN/VISA OFFICE	[Deleted] [Deleted]
Pg 1, Part 1. Information About You	…11. I-94 # (Arrival-Departure Document) 12. DOS Personal Identification # (PID) 13. Date of Last Entry into the U.S. (mm/dd/yyyy) 14. Current Immigration Status 15. Relationship to Principal (if applicable)	…11. DOS Personal Identification Number (PID) 12. I-94 Number (Arrival-Departure Document) 13. Passport or Travel Document Number 14. Country of Issuance for Passport or Travel Document 15. Expiration Date for Passport or Travel Document (mm/dd/yyyy) 16. Date of Last Entry into the U.S. (mm/dd/yyyy) 17. Current Immigration Status 18. Relationship to Principal (if applicable)
Pg 1, Part 2. Information About Principal Alien	…7. I-94 # (Arrival-Departure Document) 8. DOS Personal Identification # (PID)	…7. DOS Personal Identification Number (PID) 8. I-94 Number (Arrival-Departure Document) 9. Passport or Travel Document Number 10. Country of Issuance for Passport or Travel Document 11. Expiration Date for Passport or Travel Document (mm/dd/yyyy)
Pg 1, Part 3. Type of Request		Pg 2 [No content changes; moved to new page]
Pg 1, Part 4. Certification		Pg 2 [No content changes; moved to new page]
Pg 2, Part 7. DOS, NATO/HQ SACT, and/or USUN Use Only		Pg 3 [No content changes; moved to new page]
Pg 2, Part 8. USCIS Use Only		Pg 3 [No content changes; moved to new page]

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