I-600a Pas

USCIS Privacy Act Statement
I-600A

Authority: 8 CFR 204.3 authorizes USCIS to collect the information and the associated
evidence requested on this form.
Purpose: The primary purpose for providing the requested information on this form is to
adjudicate the qualifications of the applicant(s) as prospective adoptive parents of alien children.
Filing this form generally accelerates the qualifications processing of the prospective adoptive
parent petitioner(s).
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-005 Inter-Country Adoptions Security and DHS-USCIS-001 – Alien File, Index, and National File
Tracking System of Records, 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.
Notice to Household Members: You are not the “applicant” who is filing Form I-600A. As a
member of the applicant’s household, however, information about you may be relevant to the
adjudication of the applicant’s Form I-600A. Under 8 CFR Part 103.2(b)(16), the applicant is
entitled to review any information that may be used as evidence supporting a denial of Form I600A. By signing the Form I-600 A/Form I-600, Supplement 1, Listing of Adult Member of the
Household, you are providing your consent to permit USCIS to disclose to the applicant and
adoption service provider, if applicable, information that USCIS may obtain about you that is
relevant to the adjudication of the applicant’s Form I-600A, even if the Privacy Act, 5 U.S.C.
552a might otherwise prevent disclosure of the information to the petitioner.
Privacy Act Waiver: Apart from the routine uses and information related to adult members of
the prospective adoptive parent’s household noted above, USCIS may not disclose or give access
to any information or record relating to any applicant, spouse, (if applicable), or adult member of
the household who has filed Form I-600A to any individual or entity other than that person,
including but not limited to an accredited agency, temporarily accredited agency, approved
person, exempted provider, supervised provider, or other adoption service provider, unless
written consent is given, as provided by the Privacy Act, 5 U.S.C. 552a.
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