Table of Changes (form & instructions)

I590-FRM-TOC-OMBReview-10092014.docx

Registration for Classification as a Refugee

Table of Changes (form & instructions)

OMB: 1615-0068

Document [docx]
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TABLE OF CHANGES - FORM

Form I-590, Registration for Classification as Refugee

OMB No. 1615-0068

10/09/2014


Reason For Revision: Form expiring; revising form to include several new data collections and new data collection format.


LOCATION

CURRENT VERSION

PROPOSED VERSION

Page 1

A-Number











1. Name (First) (Middle) (Last)









2. Present Address: (Street Number and Name/Town or City/State or Province/Country)






3. Date of Birth (mm/dd/yyyy)


Place of Birth (Town or City/state or Province/Country)

Present Citizenship/Nationality


[Alien Registration Number, Case Number, and U.S. Social Security Number have been moved to be to be under and to the left and under the For DHS Use Only box and auto-filled at the top of each page]


[Page 1]


Part 1. Information About You


1. Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)


2. Other Names Used (if any)

Include maiden name, names by previous marriages, and all aliases.



3. C/O (In Care Of Name)

Street Number and Name (Present Location)

City

Province

Postal Code

Country


4. Date of Birth (mm/dd/yyyy)

5. Gender

6. Place of Birth (Country, City/Town/Village)

7. Present Citizenship or Nationality

8. Ethnicity and/or Tribal Group

9. Religion (if any)

10. Language (native)

11. Other languages that you speak




[Page2]


12. Identity documents, e.g., passport, national identification card and/or UNHCR identification card. Please provide your complete name and date of birth as shown on each document listed.


Document 1 [3 columns for data collection]

Your Name As Shown on Document

Date of Birth on Document(mm/dd/yyyy)

Document Type

Document Number

Date of Issuance (mm/dd/yyyy)

Place of Issuance

Issuing Authority


New


[Page2]


Part 2. Information About Your Parents

Provide the following information about your parents. Include living, deceased, biological, step and adoptive parents. (Please use continuation page if necessary.)


1. Parent 1

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Date of Birth (mm/dd/yyyy)

Relationship to You

Country of Birth

Street Number and Name (Present Location. If deceased, write “deceased.”)

City

Province

Postal Code

Country


2. Parent 2

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Date of Birth (mm/dd/yyyy)

Relationship to you

Country of Birth

Street Number and Name (Present Location. If deceased, write “deceased.”)

City

Province

Postal Code

Country


Page 1



12. Schooling or Education








Name and Location of School


Type

Dates Attended



Title of Degree or Diploma


[Page2]


Part 3. Schooling or Education

Provide information about the highest level of education that you completed, e.g., at university, college, trade or technical school, military academies, secondary or primary schools. (Please use continuation page if necessary.)


Name of School

Location of School

Type of School or Course of Study

Dates Attended (mm/dd/yyyy)

From

To

Title of Degree or Diploma (if any)


Page 1














13. Military Service

Country

Branch and Organization

Dates

Serial No.

Rank Attained


[Page3]


Part 4. Military Service

Provide in chronological order information about all your military service and/or military-type training (Include additional information on continuation page if necessary).


If none, check here and proceed to the section entitled “Relatives In the United States”.


1. Military Service 1

Military Branch or Organization that Trained You

Country

Unit

Duty Location

Specialty (Example: Artillery, Infantry, Intelligence, etc.)

Highest Rank

Dates of Service (mm/dd/yyyy)

From

To


2. Military Service 2…


Page 2







17. I have the following close relatives in the United States:

Name



Relationship

Present Address





18. I am being sponsored by (Name and address of sponsor in United States):


[Page3]


Part 5. Relative In The United States (I have the following close relative in the United States.)


1. Relative


Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)

Relationship to You

Street Number and Name

City or Town

State

ZIP Code


[Deleted]

Page 1






















7. Name of Spouse









10. My Spouse: will/will not accompany me to the United States.




















9. Citizenship/Nationality of Spouse:












8. Present Address of Spouse (if different)


[Page 3]


Part 6. Information About Your Marital Status


Your Current Marital Status (check all that apply)

Married (Go to section entitled “Current Spouse”)

Unmarried but engaged to be married (Go to section entitled “Fiancé”)

Never married and not engaged (Go to Part 7)

Widowed (Go to section entitled “Former Spouse”)

Divorced (Go to section entitled “Former Spouse”)

Missing Spouse (Go to section entitled “Current Spouse”)

Date last seen (mm/dd/yyyy)


1. Current Spouse

Family Name (Last Name)

Given Name (First Name)

Middle Name (if applicable)


Other Names Used by Spouse


[Page 4]


My spouse will/will not accompany me to the United States.


Identity documents of spouse, e.g., passport, national identification card, UNHCR identification card. (If more than one identity document, include additional information on continuation page.)


Document Type

Document Number

Date of Issuance (mm/dd/yyyy)

Place of Issuance

Issuing Authority

Spouse’s A-Number

RSC Case Number (if different from yours)

Date of Birth(mm/dd/yyyy)

Place of Birth (Country, City/Town/Village)

Present Citizenship or Nationality

Ethnicity and/or Tribal Group

Gender

Date of Marriage (mm/dd/yyyy)

Place of Marriage (Country, City/Town/Village)


Is your spouse’s address the same as yours?

If you answered “No,” provide your current spouse’s present location/address. If unknown, give last time/location seen.

Street Number and Name

City

State

Province

Postal Code

Country


2. Former Spouse

Family Name (Last Name)

Given Name (First Name)

Middle Name (If applicable)

Other Names Used by Former Spouse

Date of Birth (mm/dd/yyyy)

Date of Marriage (mm/dd/yyyy)

Date Marriage Terminated (mm/dd/yyyy)


Check all that apply:

Divorced

Deceased

Missing


3. Fiancé

Family Name (Last Name)

Given Name (First Name)

Middle Name (If applicable)

Date of Engagement (mm/dd/yyyy)

Other Names Used by Fiance


Page 1




































Place an (X) in front of name of each child who will accompany you to the United States.


[4 sets of data collections]

11. Name of Child(ren_)





Date of Birth (mm/dd/yyyy)

Place of Birth










Present Address (if different):


[Page 5]


Part 7. Information About Your Children

Check all of the boxes below that apply to you.

I have (number) children (include living, deceased, or missing)

I have no children (Go to Part 8.)

I am currently pregnant


List ALL children, from the oldest child to the youngest child. Include all biological, legally adopted, and step-children, regardless of age or marital status. Also include children who are now missing or deceased. (Include additional information on continuation page if necessary.)

1. Child 1

This child is my (check one):

son

daughter


This child is my (check one):

Biological Child

Legally Adopted Child

Step-Child


This child is (Check one):

Living

Deceased

Missing


Will this child accompany you to the United States?




Child’s Complete Name

Family Name (Last Name)

Given Name (First Name)

Middle Name (If applicable)


Date of Birth (mmddyyyy)

Place of Birth (City, Country)


Provide the following information ONLY if this child is NOT a case member.

Marital Status

If Married, Date of Marriage (mm/dd/yyyy)

Present Citizenship or Nationality


Current Address (if unknown, indicate date last seen and last known location of child.)

Street Number and Name

City

Province

Postal Code

Country


2. Child 2…



[Page 6]


3. Child 3…

4. Child 4...


Page 1














4. Country from which I fled or was displaced.

On or about (mm/dd/yyyy)

5. Reasons (State in detail):


[Page 7]


Part 8. Information About Your Request For Refugee Status (Include additional information on continuation page if necessary.)


1. What was your travel route when you first left your country of citizenship/ nationality or country of last habitual residence?


2. Why did you first flee your country of citizenship/nationality, or if you are stateless, the country of your last habitual residence? (Include additional information on continuation page if necessary.)


3. Have you ever returned to your country?

If yes, when and why did you return?


Page 1-2
















[Page 1]


6. My present immigration status in (Country in which residing)

Evidence of my immigration status is: (Describe):



[Page 2]


16. I have/have not been in the United States. (If you have ever been in the United States, provide the dates of entry and departure and the purpose of your entry (visitor, lawful permanent resident, student, seaman, etc.).)









File or Alien Registration Number:




14. Political, professional, or social organizations of which I am now or have been a member or with which I am now or have been affiliated since my 16th birthday. (If you have never been a member of any organization, state “None.”)


[Page 7]


Part 9. Additional Information About Your Request for Refugee Status (Include additional information on continuation page if necessary to complete your responses to the questions contained in Part 9).


1. Have you ever been fingerprinted by the U.S. government or the authorities of any other country?



[Page 8]


2. Do you now hold, or have you ever held, or have you ever applied for, permanent residence, other permanent status, or citizenship/nationality in any country other than your country of citizenship (or if you are stateless, the country of your last habitual residence)?


3. Have you ever been to the United States?


If “Yes,” provide the information requested in the table below for each trip to the United States. (Include additional information on continuation page if necessary.)


Trip 1[3 columns for data collection]

Date of Entry (mm/dd/yyyy)

Place of Entry

Status

Visa Number

A-Number

Date of Exit (mm/dd/yyyy)

Place of Exit


4. List your present and past membership in- or affiliation with- all political, professional, or social organizations or groups, such as but not limited to: student groups, labor unions, religious organizations, civil patrols, human rights groups, media organizations, funds, foundations, or societies. Include the name(s) of organization(s), location(s), dates of membership, as well as the purpose, character and nature of the organization(s). Include ranks held, promotions received, honors/recognitions given, regular duties, and dues paid.


If none, check here.


Page 2



























































Signature of Registrant:

Date:



[Page 8]


Part 10. Certification of Registrant, Interpreter, and Preparer


Registrant (Applicant) Certification [sub-header]


NOTE: Select the box for either Item A. or B. in Item Number 1. If applicable, select the box for Item Number 2.


1. Registrant’s Statement Regarding Interpreter

A. [Check Box] I can read and understand English, and have read and understand every question and instruction on this form, as well as my answer to every question.


B. [Check Box] The interpreter named below has read to me every question and instruction on this form, as well as my answer to every question, in [Fillable Field], a language in which I am fluent.  I understand every question and instruction on this form as translated to me by my interpreter, and have provided complete, true, and correct responses in the language indicated above.



[Page 9]


2. Registrant’s Statement Regarding Preparer


[Checkbox] I have requested the services of and consented to [Fillable Field], who [check box] is [check box] is not an attorney or accredited representative, preparing this form for me.



3. Registrant (Applicant) Certification

Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that U.S. Citizenship and Immigration Services (USCIS) may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek.


I furthermore authorize release of information contained in this form, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration of U.S. immigration laws.


I certify, under penalty of perjury, that the information in my form and any document submitted with my form were provided by me and are complete, true, and correct.


A. Registrant’s (Applicant’s) Signature

Date of Signature (mm/dd/yyyy)

B. Telephone Number (if any)

C. E-mail Address (if any)



Interpreter Certification [sub-header]


Provide the following information concerning the interpreter:


4. Interpreter’s Name and Contact Information

A. Interpreter’s Family Name (Last Name)

Interpreter’s Given Name (First Name)

B. Interpreter’s Business or Organization Name (if any)

C. Street Number and Name

City or Town

Province

Postal Code

Country

D. Telephone Number (if any)

E. E-mail Address (if any)


5. Interpreter’s Certification and Signature


I certify that:

I am fluent in English and [Fillable Field], which is the same language provided in Part 10., Item B. in Item Number 1.;


I have read to this registrant every question and instruction on this form, as well as the answer to every question, in the language provided in Part 10., Item B. in Item Number 1.; and


The registrant has informed me that he or she understands every instruction and question on the form, as well as the answer to every question, and the registrant verified the accuracy of every answer.


F. Interpreter’s Signature

Date of Signature (mm/dd/yyyy)



[Page 10]


Preparer Certification [sub-header]


Provide the following information concerning the interpreter:


6. Preparer’s Name and Contact Information

A. Preparer’s Family Name (Last Name)

Preparer’s Given Name (First Name)

B. Preparer’s Business or Organization

C. Street Number and Name

City or Town

State

ZIP Code

Province

Postal Code

Country

D. Telephone Number (if any)

E. Fax Number

F. E-mail Address (if any)


7. Preparer’s Statement, Certification, and Signature


By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this form on behalf of, at the request of, and with the express consent of the registrant (applicant).  I completed the form based only on responses the registrant (applicant) provided to me.  After completing the form, I reviewed it and all of the registrant’s (applicant’s) responses with the registrant (applicant), who agreed with every answer on the form. If the registrant (applicant) supplied additional information concerning a question on the form, I recorded it on the form.


Preparer’s Signature

Date of Signature (mm/dd/yyyy)


Page 2








15. I have/have not been charged with a violation of law. (If you have ever been charged with a violation of law, give date, place, and nature of each charge and the final result.)


[Page 10]


Part 11. Admissibility (Please provide explanations for answers marked “yes” on continuation page)


1. Have you ever been arrested or have you ever committed, or helped someone else commit any crimes?


If “Yes,” have you ever:


A. Knowingly committed any crime (excluding traffic violations) for which you have not been arrested? Yes No


B. Been arrested, cited, charged, indicted, fined, or imprisoned for breaking or violating any law or ordinance, excluding traffic violations? Yes No


C. Been the beneficiary of a pardon, amnesty, rehabilitation decree or other act of clemency or similar action? Yes No



[Page 11]


D. Exercised diplomatic immunity to avoid prosecution for a criminal offense in the United States? Yes No


E. Illegally trafficked (illegally transported, traded, dealt, or sold) in any illegal narcotic or other controlled substance, or knowingly assisted, abetted or conspired in the illicit trafficking of any such substance? Yes No


F. Engaged in any unlawful commercialized vice, including, but not limited to, illegal gambling? Yes No


G. Knowingly encouraged, induced, assisted, abetted, or aided any alien to try to enter the United States illegally? Yes No


H. Within the past 10 years, been a prostitute or procured anyone for prostitution? Yes No


Please provide details of all violations of law on continuation page, including: date; place; nature of charges; and final disposition for each incident.


2. Have you EVER :


A. Been subject to deportation or removal from the United States?


B. Voted illegally in the United States?


C. Been a citizen of the United States who has renounced that citizenship to avoid taxation?


D. Left the United States to avoid being drafted into the U.S. armed forces?


E. Been subject to a civil document fraud final order for violating section 274C of the Immigration and Nationality Act of the United States?


3. Have you ever applied for a U.S. immigration benefit, such as a visa, refugee status, or asylum?


If “Yes,” were you on your parents’ or spouse’s application? (Provide details below)

Date (mm/dd/yyyy)

Location

Type of Immigration Benefit

Status (status granted or denied)


4. Are you now withholding custody of a United States citizen child from a person granted custody of the child?


5. Have you EVER :


A. Engaged in, conspired to engage in, or incited sabotage, kidnapping, political assignation, hijacking, or any other form of terrorist activity?


B. Solicited membership or funds for, or ever voluntarily assisted or provided any type of material support to, any person or organization that has ever engaged in or conspired to engage in sabotage, kidnapping, political assassination, hijacking, or any other form of terrorist activity?


C. Provided support, including housing, transportation, communications, funds, documents, weapons or training for any person or organization that has ever engaged in or conspired to engage in sabotage, kidnapping, assassination, hijacking or any other form of terrorist activity?


D. Been a representative or member of any terrorist organization or a member of a group that endorses terrorist activity?


6. If married, has your spouse ever engaged in terrorist activity or been a member of a terrorist organization?


7. If you are under 21 years of age, has your parent ever engaged in terrorist activity or been a member of a terrorist organization?


[Page 12]



8. While in the United States do you intend to engage in:


A. Espionage?


B. Terrorism or any activity, a purpose of which is opposition to, or the control or overthrow of, the Government of the United States by force, violence, or any other lawful means?


C. Any activity to violate or evade any law prohibiting the export from the United States of goods, technology, or sensitive information?


D. Polygamy (simultaneous marriage to more than one spouse)?


E. Prostitution?


9. Have you EVER been a member of, or in any way affiliated with, the Communist party or any other totalitarian party?


If “Yes”,

Your affiliation/level of membership:

Beginning Date (mm/dd/yyyy)

Ending Date (mm/dd/yyyy)


10. Have you EVER ordered, incited, called for, committed, assisted, helped with, or otherwise participated in any of the following on account of someone’s race, religion, nationality, membership in a particular social group or political opinion:


A. Acts involving torture or genocide?


B. Killing any person?


C. Intentionally and severely injuring any person?


D. Engaging in any kind of sexual contact or relations with any person who was being forced or threatened?


E. Limiting or denying any person’s ability to exercise religious beliefs?


11. Have you EVER:


A. Served in, been a member of, assisted in, or participated in any military unit, paramilitary unit, police unit, self-defense unit, vigilante unit, rebel group, guerilla group, militia or insurgent organization?


B. Served in any prison, jail, prison camp, detention facility, labor camp, or any other situation that involved detaining persons?


C. Been a member of, assisted in, or participated in any group, unit, or organization of any kind in which you or other persons used any type of weapon against any person or threatened to do so?


D. Assisted or participated in selling or providing weapons to any person who, to your knowledge, used them against another person, or in transporting weapons to any person who, to your knowledge, used them against another person?


E. Received any type of military, paramilitary, or weapons training?


12. Have you EVER:


A. Recruited, enlisted, conscripted, or used any person under age 15 to serve in or help an armed force or group?


B. Used any person under age 15 to take part in hostilities, or to help or provide services to people in combat?


13. Have you, by fraud, or willful misrepresentation of a material fact, ever sought to procure, or procured, a visa, other documentation, or entry into the United States, or any other immigration benefit?


Page 2



Do not write below this line. For Government Use Only.










I [Fillable Field], do swear (affirm) that I know the contents of this registration subscribed by me, including the attached documents, that the same are true to the best of my knowledge, and that corrections numbered ([Fillable Field]) to ([Fillable Field]) were made by me or at my request, and that this registration was signed by me with my full, true name.











(Complete and true signature of registrant)


















Subscribed and sworn to before me by the above-named registrant at [Fillable Field] on [Fillable Field](mm/dd/yyyy)

























(Signature and Title of Officer)

Immigration Officer

Interview Date

At












Approved

Date

Officer in Charge


Action Block


[Page 13]


Do not write below this line. For Government use only.


THIS SECTION IS TO BE COMPLETED ONLY IN THE PRESENCE OF THE U.S. GOVERNMENT OFFICIAL RESPONSIBLE FOR ADJUDICATING THIS REGISTRATION.


I, the undersigned, do swear or affirm that I know the contents of this registration subscribed by me, including any attached documents, and that they are true to the best of my knowledge, and that corrections numbered [Fillable Field] to [Fillable Field] were made by me or at my request. Each and every question and instruction on this form was read to me in [Fillable Field], a language in which I am fluent. I understand each and every question and instruction on this form, as well as my answer to each question. I agree to report any changes in family composition, such as births, deaths, marriages, divorces and engagements, to the U.S. Government via the Resettlement Support Center.


(True and Complete Signature of Registrant)


OPTIONAL: I authorize USCIS to release information contained in or pertaining to my application for refugee status to the U.N. High Commissioner for Refugees, other U.S. Government agencies, and other resettlement countries. I understand that no information regarding my refugee claim will be shared with the government from which I am seeking refuge. I understand that I am not required to sign this waiver, and I do so voluntarily.


(True and Complete Signature of Registrant)


Subscribed and sworn to before me by the above named registrant at [Fillable Field](Location) on [Fillable Field](Date)(mm/dd/yyyy)


Interpreter’s Certification and Signature


I certify that:

I am fluent in English and [Fillable Field], which is the same language provided in Part 10., Item B. in Item Number 1.;


I have read to this registrant every question and instruction on this form, as well as the answer to every question, in the language provided in Part 10., Item B. in Item Number 1.; and


The registrant has informed me that he or she understands every instruction and question on the form, as well as the answer to every question, and the registrant verified the accuracy of every answer.


1. Name, Title, and Signature of Interviewing Officer

2 Interview Location

3. Date (mm/dd/yyyy)

4. Name of Interpreter

5. Signature of Interpreter


6. Name of Interviewing Officer (Re-interview)

7. Interview Location (Re-interview)

8. Date (mm/dd/yyyy)

9. Name of Interpreter (Re-interview)

10. Signature of Interpreter (Re-interview)


[Deleted]

New


Part 12. Additional Information About Your Registration for Classification as Refugee Continuation Sheet


If you need extra space to provide any additional information within this form, use the space below. If you need more space than what is provided, you may make copies to complete and file with this form or attach a separate sheet of paper. Include your name, your Alien Registration Number (A-Number) (if any) and Case Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet.


1.a. Page Number

1.b. Part Number

1.c. Item Number

1.d. [Fillable Field]


2.a…4.d.


5. Registrant’s (Applicant’s) Signature Date of Signature (mm/dd/yyyy)


New


[Page 15]


Part 13. Additional Certifications of Interpreter and Preparer


Interpreter Certification [sub-header]


Provide the following information concerning the interpreter:


1. The interpreter named below provided his or her services during the [Fillable Filed] part of the process.


2. Interpreter’s Name and Contact Information

A. Interpreter’s Family Name (Last Name)

Interpreter’s Given Name (First Name)

B. Interpreter’s Business or Organization Name (if any)

C. Street Number and Name

City or Town

Province

Postal Code

Country

D. Telephone Number (if any)

E. E-mail Address (if any)


3. Interpreter’s Certification and Signature


I certify that:

I am fluent in English and [Fillable Field], which is the same language provided in Part 10., Item B. in Item Number 1.;


I have read to this registrant every question and instruction on this form, as well as the answer to every question, in the language provided in Part 10., Item B. in Item Number 1.; and


The registrant has informed me that he or she understands every instruction and question on the form, as well as the answer to every question, and the registrant verified the accuracy of every answer.


F. Interpreter’s Signature

Date of Signature (mm/dd/yyyy)



[Page 16]


Preparer Certification [sub-header]


Provide the following information concerning the interpreter:


4. The preparer named below provided his or her services during the [Fillable Filed] part of the process.


5. Preparer’s Name and Contact Information

A. Preparer’s Family Name (Last Name)

Preparer’s Given Name (First Name)

B. Preparer’s Business or Organization

C. Street Number and Name

City or Town

State

ZIP Code

Province

Postal Code

Country

D. Telephone Number (if any)

E. Fax Number

F. E-mail Address (if any)


6. Preparer’s Statement, Certification, and Signature


By my signature, I certify, swear or affirm, under penalty of perjury, that I prepared this form on behalf of, at the request of, and with the express consent of the registrant (applicant).  I completed the form based only on responses the registrant (applicant) provided to me.  After completing the form, I reviewed it and all of the registrant’s (applicant’s) responses with the registrant (applicant), who agreed with every answer on the form. If the registrant (applicant) supplied additional information concerning a question on the form, I recorded it on the form.


Preparer’s Signature

Date of Signature (mm/dd/yyyy)


Page 2



Instructions






























Submission of Form -This form should be filled out, signed, and submitted to the District Director or Officer in Charge of the nearest overseas office of U.S. Citizenship and Immigration Services (USCIS). When USCIS begins processing your form, you will receive additional instructions.


Registration - A separate Form I-590, Registration for Classification as Refugee, is required for each registrant. Form I-590 on behalf of a child under 14 years of age shall be submitted by the parent or guardian.



USCIS Privacy Act Statement


Authories: 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, local, and foreign government agencies and authorized organizations following approved routine uses described in the associated published system of records notices [DHS-USCIS-007 - Benefits Information System and DHS-USCIS-001 - Alien File (A-File) and Central Index System (CIS), which can be found at www.dhs.gov/privacy]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.






Public Reporting Burden - A person is not required to respond to a collection of information unless it displays a currently valid OMB control number. This collection of information is estimated to average 35 minutes per response. If you have comments regarding the accuracy of this estimate or suggestions for simplifying this form, write to: U.S. Citizenship and Immigration Services, Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC 20529-2020: OMB No. 1615-0068. Do not mail your completed application to this address.

[Page 17]


Instructions [header]


How To Fill Out the Form


1. Type or print legibly in black ink.


2. If extra space is needed to complete any item, type or print the additional information in Part 12. Additional Information About Your Registration for Classification as Refugee Continuation Sheet. Indicate the registrant’s name and Alien Registration Number (A-Number) and Case Number (if any), at the top of each continuation sheet(s), as well as the page number, part number and item number to which the answer refers in the correlating data collection boxes.


3. Answer all questions fully and accurately. If an item is not applicable or the answer is “none,” write “N/A” or “None.”


4. Each application must be properly signed. A photocopy of a signed form or a typewritten name in place of a signature is not acceptable.


Submission of Form - The Resettlement Support Center (RSC) with jurisdiction in the registrant’s region shall assist the registrant in the completion and submission of Form I-590, Registration for Classification as Refugee.




Registration - A separate Form I-590 is required for each registrant. Form I-590 on behalf of a child under 14 years of age may be submitted by the parent or guardian.




USCIS Privacy Act Statement [header]


AUTHORITIES: The information requested on this form, and the associated evidence, is collected pursuant to 8 U.S.C. section 1522(b) and 8 U.S.C. section 1157.


PURPOSE: The primary purpose for providing the requested information on this form is to determine eligibility for refugee classification and resettlement in the United States.




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 benefit request.


ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local, and foreign 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 of Records, and the STATE-60- Refugee Case Records, which can be found at www.dhs.gov/privacy and www.state.gov]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.



Paperwork Reduction Act [header]


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 Form I-590 is estimated at 3 hours for gathering information; 20 minutes (.33 hours) for submitting biometric information; 1 hour for reviewing the request; and 2 hours for collecting DNA evidence. 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 1615-0068. Do not mail your completed Form I-590 to this address.



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File TitleTABLE OF CHANGES
Authorkemangan
File Modified0000-00-00
File Created2021-01-28

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