Supp 1 PAS

USCIS Privacy Act Statement
I-600/ I-600A Supplement
Authority: 8 CFR 204.3 authorizes USCIS to collect the information requested on this form.
Purpose: This supplemental form must be completed for every adult member of the household age 18
and older who lives in the home of the prospective adoptive parent(s). The purpose of the form is to
collect information on any additional adult members residing in the prospective adoptive parents’
household, or who does not actually live at the same residence, but whose presence is relevant to
determine suitability for adoption. USCIS will determine suitability by conducting background and
security checks on you and other adult household members.
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 the 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.