Pta

Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

PRIVACY THRESHOLD ANALYSIS (PTA)
This form serves as the official determination by the DHS Privacy Office to
identify the privacy compliance requirements for all Departmental uses of
personally identifiable information (PII).
A Privacy Threshold Analysis (PTA) serves as the document used to identify
information technology (IT) systems, information collections/forms, technologies,
rulemakings, programs, information sharing arrangements, or pilot projects that involve
PII and other activities that otherwise impact the privacy of individuals as determined by
the Chief Privacy Officer, pursuant to Section 222 of the Homeland Security Act, and to
assess whether there is a need for additional Privacy Compliance Documentation. A PTA
includes a general description of the IT system, information collection, form, technology,
rulemaking, program, pilot project, information sharing arrangement, or other Department
activity and describes what PII is collected (and from whom) and how that information is
used and managed.
Please complete the attached Privacy Threshold Analysis and submit it to your
component Privacy Office. After review by your component Privacy Officer the PTA is sent
to the Department’s Senior Director for Privacy Compliance for action. If you do not have a
component Privacy Office, please send the PTA to the DHS Privacy Office:
Senior Director, Privacy Compliance
The Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
Tel: 202-343-1717
[email protected]
Upon receipt from your component Privacy Office, the DHS Privacy Office will review this
form and assess whether any privacy compliance documentation is required. If compliance
documentation is required – such as Privacy Impact Assessment (PIA), System of Records
Notice (SORN), Privacy Act Statement, or Computer Matching Agreement (CMA) – the DHS
Privacy Office or component Privacy Office will send you a copy of the relevant compliance
template to complete and return.

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

Privacy Threshold Analysis (PTA)

Specialized Template for
Information Collections (IC) and Forms
The Forms-PTA is a specialized template for Information Collections and Forms. This
specialized PTA must accompany all Information Collections submitted as part of the
Paperwork Reduction Act process (any instrument for collection (form, survey,
questionnaire, etc.) from ten or more members of the public). Components may use this PTA
to assess internal, component-specific forms as well.
Form Number:

Form I-130

Form Title:

Petition for Alien Relative

Component:

U.S. Citizenship and
Immigration Services
(USCIS)

Office:

Field Operations
Directorate

IF COVERED BY THE PAPERWORK REDUCTION ACT:
Collection Title:
Form I-130, Petition for Alien Relative
OMB Control
Number:
Collection status:

Name:
Office:
Phone:

1615-0012
Extension

OMB Expiration
Date:
Date of last PTA (if
applicable):

July 31, 2018
May 20, 2016

PROJECT OR PROGRAM MANAGER
Mariusz Misiaszek
Field Operations
Title:
Adjudications Officer
Directorate
(202) 748-2900
Email:
[email protected]
s.gov
COMPONENT INFORMATION COLLECTION/FORMS CONTACT

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

Name:
Office:
Phone:

Megan Barker
Office of Policy & Strategy

Title:

Management Program
Analyst
(202) 272-9135
Email:
[email protected].
gov
SPECIFIC IC/Forms PTA QUESTIONS

1. Purpose of the Information Collection or Form
a. Describe the purpose of the information collection or form. Please provide a
general description of the project and its purpose, including how it supports the DHS
mission, in a way a non-technical person could understand (you may use
information from the Supporting Statement).
If this is an updated PTA, please specifically describe what changes or upgrades are
triggering the update to this PTA.
Form Extension
USCIS is submitting the Form I-130 PTA to document that the form is being extended under PRA
with no revisions.
Form I-130, Petition for Alien Relative
Form I-130, Petition for Alien Relative, is a petition for a U.S. citizen or lawful permanent resident
to submit on behalf of certain alien relatives who wish to immigrate to the United States. It is
used to establish the relationship of the petitioner to certain alien relatives. Filing a Form I-130 is
only the first step in helping a relative immigrate to the United States. Eligible family members
must wait until there is a visa number available before they can apply to become a lawful
permanent resident. Generally, to be eligible for approval the petitioner must establish:
 A bona fide relationship exists between the beneficiary and petitioner; and
 The petitioner is a U.S. citizen or lawful permanent resident.
If the petitioner is a U.S. citizen, they may file Form I-130 for their:
 spouse;
 unmarried children under 21 years of age;
 unmarried sons or daughters 21 years of age or older;
 married sons or daughters of any age;
 brothers or sisters (petitioner must be 21 years of age or older); and
 mother or father (petitioner must be 21 years of age or older).
If the petitioner is a lawful permanent resident of the United States, they may file Form I-130 for
their:
 spouse;
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy


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unmarried child under 21 years of age; and
unmarried son or daughter 21 years of age or older.

When a petition is approved for the spouse, unmarried children under 21 years of age, or parents
of a U.S. citizen, these persons are classified as immediate relatives, which means visas are
immediately available. When a petition is approved for a U.S. citizen’s sibling or married or adult
son or daughter, or for a lawful permanent resident’s spouse, child, or unmarried son or
daughter, it is assigned to the appropriate visa preference category. Each year, a limited number
of immigrant visas are available for each preference category. The visas are processed in the
order in which the petitions are properly filed and accepted by us. To be considered properly
filed, a petition must be fully completed and signed, and the filing fee must be paid.
There are a variety of requirements and eligibilities for the petitioner and beneficiary. Detailed
information can be found on the Instructions for Form I-130, Petition for Alien Relative, and
Form I-130A, Supplemental Information for Spouse Beneficiary found on USCIS’ website.
US Citizens and Lawful Permanent Residents file the Form I-130 by mail at the USCIS Phoenix or
Chicago Lockboxes, depending on where the petitioner lives and whether their relative is also
concurrently filing Form I-485, Application to Register Permanent Residence or Adjust Status.
Relevant IT System
USCIS currently uses the Interim Case Management Solutions (ICMS), CLAIMS 3, and Case and
Activity Management for International Operations (CAMINO) to adjudicate the petition. However,
the Form I-130 is currently being reviewed, and requirements are being gathered, to eventually
enable adjudication in the Electronic Immigration System (ELIS), an internal case management
system used primarily by USCIS officers to review and adjudicate cases. Online filing via
MyUSCIS, a customer service tool that provides an online public-facing portal for USCIS
customers to access information related to their applications, petitions, and service requests, is
expected to become available at the same time. The Form I-130 is adjudicated in a receipt file (if
filed on its own) or A-File (if filed concurrently with other immigration status granting
applications), but all adjudicated Form I-130s are eventually incorporated into and stored in an
A-File.

b. List the DHS (or component) authorities to collect, store, and use this information.
If this information will be stored and used by a specific DHS component, list the
component-specific authorities.
Office of Information and Technology (OIT) and Immigration Records and Identity
Services (IRIS)

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

2. Describe the IC/Form
a. Does this form collect any
Personally Identifiable
Information” (PII1)?
b. From which type(s) of
individuals does this form
collect information?
(Check all that apply.)

☒ Yes
☐No
☒ Members of the public
☒ U.S. citizens or lawful permanent
residents
☒ Non-U.S. Persons.
☐DHS Employees
☐DHS Contractors
☐Other federal employees or contractors.

c. Who will complete and
submit this form? (Check
all that apply.)

☒ The record subject of the form (e.g., the
individual applicant).
☒ Legal Representative (preparer, attorney,
etc.).
☐Business entity.
If a business entity, is the only
information collected business contact
information?
☐Yes
☐No
☐Law enforcement.
☐DHS employee or contractor.
☐Other individual/entity/organization that is
NOT the record subject. Please describe.
Click here to enter text.

1

Personally identifiable information means any information that permits the identity of an individual to be directly or indirectly inferred, including
any other information which is linked or linkable to that individual regardless of whether the individual is a U.S. citizen, lawful permanent resident,
visitor to the U.S., or employee or contractor to the Department.
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

d. How do individuals
complete the form? Check
all that apply.

☒ Paper.
☒ Electronic. (ex: fillable PDF)
☐Online web form. (available and submitted via
the internet)
Provide link:

e. What information will DHS collect on the form? List all PII data elements on the
form. If the form will collect information from more than one type of individual,
please break down list of data elements collected by type of individual.
Information about the petitioner:
 A-Number (if one)
 USCIS Online Account Number (if any)
 U.S. Social Security Number (if any)
 Full Name
 Aliases
 City/Town/Village and Country of Birth
 Date of Birth
 Sex
 Mailing Address
 Physical Address
 Address History for last five years
 Number of times married
 Current marital status
 Date of current marriage (if currently married)
 Place of current marriage (if currently married
 Full name of current spouse (if currently married)
 Full names of prior spouses (if married in the past)
 Dates prior marriages ended (if married in the past)
 Parents’ full name
 Parent’s date of birth
 Parents’ sex
 Parents’ country of birth
 Parents’ city/town/village and country of residence
 Current status in United States (either USC or LPR)
 How citizenship acquired (if USC)
 U.S. Certificate of Naturalization or Citizenship number, place of issuance, and date of
issuance (if obtained)
 Class of admission (if LPR)
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

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Date and place of admission (if LPR)
Whether LPR status acquired through marriage to a USC or LPR (if LPR)
Employment History for the last five years
Ethnicity
Race
Height
Weight
Eye color
Hair color
Last address physically lived with beneficiary, if the beneficiary is the petitioner’s spouse
Full name of any individuals filed a petition for in the past
City/town and state where petitions for any individuals in the past were filed
Date any petitions for any individuals in the past were filed
Result of any petitions filed for any individuals in the past
Full name and relationship of any other beneficiaries currently filing a petition for
Daytime telephone number
Mobile telephone number (if any)
Email address (if any)

Information about the beneficiary:
 A-Number (if one)
 USCIS Online Account Number (if any)
 U.S. Social Security Number (if any)
 Full Name
 Aliases
 City/town/village and country of birth
 Date of birth
 Sex
 Physical Address
 Address in the United States intend to live (if different from physical address)
 Address outside the United States (if different from physical address)
 Daytime telephone number (if any)
 Mobile telephone number (if any)
 Email address (if any)
 Number of times married
 Current marital status
 Date of current marriage (if currently married)
 Place of current marriage (if currently married)
 Full name of current spouse (if currently married)
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

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Full names of prior spouses (if married in the past)
Dates prior marriages ended (if married in the past
Date of birth of current spouse (if currently married)
Country of birth of current spouse (if currently married)
Children’s full name
Relationship with children (son, daughter)
Children’s date of birth
Children’s country of birth
Class of admission (if in the United States)
Form I-94 Arrival/Departure Record Instructions number (if in the United States)
Date of arrival (if in the United States)
Date authorized stay expires (if in the United States
Travel document information
Current employment information
Type of immigration proceedings (if ever in proceedings)
City/town, state, and date of immigration proceedings (if ever in proceedings)

Information about the preparer:
 Full name
 Business or Organization name (if any)
 Mailing address
 Daytime telephone number
 Mobile telephone number (if any)
 Email address (if any)
Information about the interpreter:
 Full name
 Business or Organization name (if any)
 Mailing address
 Daytime telephone number
 Mobile telephone number (if any)
 Email address (if any)
Information about the attorney:
 Volag Number
 Attorney State Bar Number
 USCIS Online Account Number (if any)

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

f. Does this form collect Social Security number (SSN) or other element that is
stand-alone Sensitive Personally Identifiable Information (SPII)? Check all that
apply.
☒ Social Security number
☐ DHS Electronic Data Interchange
Personal Identifier (EDIPI)
☒ Alien Number (A-Number)
☐ Social Media Handle/ID
☐ Tax Identification Number
☐ Known Traveler Number
☐ Visa Number
☐ Trusted Traveler Number (Global
☒ Passport Number
Entry, Pre-Check, etc.)
☐ Bank Account, Credit Card, or other
☐ Driver’s License Number
financial account number
☒ Biometrics
☐ Other. Please list:
g. List the specific authority to collect SSN or these other SPII elements.
Sections 103, 204, and 264(f) of the Immigration and Nationality Act; 8 USC, 1101, 1181, 1185,
and 1304; 22 CFR 41.104; Memorandum of President of the United States, Mar. 6, 2017, 82 F.R.
16279 “Implementing Immediate Heightened Screening and Vetting
of Applications for Visas and Other Immigration Benefits, Ensuring Enforcement of All Laws for
Entry Into the United States, and Increasing Transparency Among Departments and Agencies of
the Federal Government and for the American People”

h. How will this information be used? What is the purpose of the collection?
Describe why this collection of SPII is the minimum amount of information
necessary to accomplish the purpose of the program.
The social security number may be used to verify the identity of the petitioner and beneficiary.
The SSN is used when investigating potential fraud or criminal issues in various records and
systems, as it is a unique identifier, just as are fingerprints.

i.

Are individuals
provided notice at the
time of collection by
DHS (Does the records
subject have notice of
the collection or is
form filled out by
third party)?

Privacy Threshold Analysis – IC/Form

☒ Yes. Please describe how notice is provided.
A Privacy Notice is included in the corresponding
form instructions. The Form I-130 can be filled out
by the petitioner or, at the petitioner’s request, a
preparer and with the assistance of an interpreter.
The Petitioner must sign and date the Petition,
certifying that all of the information was provided
or authorized by the petitioner, and that they
reviewed and understood all of the information
contained in, and submitted with the petition, and
that all of the information is complete, true, and
correct.
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

☐No.

3. How will DHS store the IC/form responses?
a. How will DHS store
☒ Paper. Please describe.
the original,
A-File
completed IC/forms?
☒ Electronic. Please describe the IT system that will

b. If electronic, how
does DHS input the
responses into the IT
system?

c. How would a user
search the
information
submitted on the
forms, i.e., how is the
information
retrieved?

store the data from the form.
CLAIMS 3, ICMS, and CAMINO
☒ Scanned forms (completed forms are scanned into
an electronic repository). Please describe the
electronic repository.
Enterprise Document Management System
(EDMS)
☒ Manually (data elements manually entered). Please
describe.
Some information is submitted manually by
employees with Lockbox. The Lockbox uses both,
with the first step being an automatic scan to
capture recognizable information. Then, for fields
that we have designated for additional
verification, Lockbox contract staff are manually
reviewing, verifying, and correcting, if needed.
☒ Automatically. Please describe.
Initial Automatic scan to capture recognizable
information.
☒ By a unique identifier.2 Please describe. If
information is retrieved by personal identifier, please
submit a Privacy Act Statement with this PTA.
Records may be retrieved a personal identifier or
a combination of personal identifiers such as
name and date of birth and A number.

2

Generally, a unique identifier is considered any type of “personally identifiable information,” meaning any information that permits the identity
of an individual to be directly or indirectly inferred, including any other information which is linked or linkable to that individual regardless of
whether the individual is a U.S. citizen, lawful permanent resident, visitor to the U.S., or employee or contractor to the Department.
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

☐By a non-personal identifier. Please describe.
Click here to enter text.
d. What is the records
retention
schedule(s)? Include
the records schedule
number.

DAA-0566-2016-0018 covers Form I-130
DAA-0566-2016-0009 covers CLAIMS 3 records. Data is
destroyed 50 years after the last completed action.
N1-566-12-06 covers CAMINO - Case and Activity
Management for International Operations
ICMS is a non-record system.
N1-566-08-11 covers A-Files records which were deemed
permanent. USCIS transfers A-Files 100 years after the
individual’s date of birth.
The system owner is responsible for ensuring the records
are deleted in accordance with the approved records
retention schedule.

e. How do you ensure
that records are
disposed of or deleted
in accordance with
the retention
schedule?
f. Is any of this information shared outside of the original program/office? If yes,
describe where (other offices or DHS components or external entities) and why.
What are the authorities of the receiving party?

☐Yes, information is shared with other DHS components or offices. Please describe.
Click here to enter text.
☒ Yes, information is shared external to DHS with other federal agencies, state/local
partners, international partners, or non-governmental entities. Please describe.
U.S. Department of State (DOS)
Once an individual is the beneficiary of an approved immigrant petition and an immigrant
visa number is immediately available to them, there are two ways to apply for lawful
permanent resident status (a Green Card). If the beneficiary is already in the United States,
they can apply for permanent resident status without having to return to their home country
to complete processing. This process is called adjustment of status.
If the beneficiary is outside of the United States, they may apply at a U.S. Department of State
consulate abroad for an immigrant visa in order to come to the United States and be admitted
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

as a permanent resident. This pathway is referred to as consular processing. Consular
processing involves the sending of an approved I-130 to the Department of State so that DOS
can interview the beneficiary who is seeking the immigrant visa.

☐ No. Information on this form is not shared outside of the collecting office.

Please include a copy of the referenced form and Privacy Act Statement (if
applicable) with this PTA upon submission.

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

PRIVACY THRESHOLD REVIEW
(TO BE COMPLETED BY COMPONENT PRIVACY OFFICE)
Component Privacy Office Reviewer:

Nina Robinson

Date submitted to component Privacy
Office:
Date submitted to DHS Privacy Office:

April 20, 2018

Have you approved a Privacy Act
Statement for this form? (Only
applicable if you have received a
waiver from the DHS Chief Privacy
Officer to approve component Privacy
Act Statements.)

May 8, 2018
☒ Yes. Please include it with this PTA
submission.
☐No. Please describe why not.
Click here to enter text.

Component Privacy Office Recommendation:
Please include recommendation below, including what existing privacy compliance
documentation is available or new privacy compliance documentation is needed.
The USCIS Office of Privacy recommendation is to designate this form as privacy sensitive
with coverage under the following:
PIA





DHS/USCIS/PIA-003 Integrated Digitization Document Management Program
(IDDMP), which covers the storage of Form I-130 in EDMS
DHS/USCIS/PIA-016 Computer Linked Application Information Management
System (CLAIMS 3) and Associated Systems, which covers the processing and
storage of Form I-130
DHS/USCIS/PIA-051 Case and Activity Management for International Operations,
which covers the processing and storage of the Form I-130

SORN
 DHS/USCIS/ICE/CBP-001- Alien File, Index, and National File Tracking System of
Records, which covers the use, collection, and storage of the Form I-130 in the A-File
 DHS/USCIS-007-Benefits Information System, which covers the use, collection, and
storage of beneficiaries, family members, representatives, and preparers and

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

interpreters information to determine and administer the Petition for the Alien
Relative

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

PRIVACY THRESHOLD ADJUDICATION
(TO BE COMPLETED BY THE DHS PRIVACY OFFICE)
DHS Privacy Office Reviewer:

Hannah Burgess

PCTS Workflow Number:
Date approved by DHS Privacy Office:
PTA Expiration Date

1162951
May 14, 2018
May 14, 2021

DESIGNATION
Privacy Sensitive IC or
Form:

Yes If “no” PTA adjudication is complete.

Determination:

☐PTA sufficient at this time.
☐Privacy compliance documentation determination in progress.
☐New information sharing arrangement is required.
☐DHS Policy for Computer-Readable Extracts Containing SPII
applies.
☒ Privacy Act Statement required.
☒ Privacy Impact Assessment (PIA) required.
☒ System of Records Notice (SORN) required.
☐Specialized training required.
☐Other. Click here to enter text.

DHS IC/Forms Review:

Choose an item.

Date IC/Form Approved Click here to enter a date.
by PRIV:
IC/Form PCTS Number: Click here to enter text.
Privacy Act
Choose an item.
Statement:
Click here to enter text.
PTA:
Choose an item.
Click here to enter text.
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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

PIA:

System covered by existing PIA
If covered by existing PIA, please list: DHS/USCIS/PIA-003 Integrated
Digitization Document Management Program (IDDMP);
DHS/USCIS/PIA-016 Computer Linked Application Information
Management System (CLAIMS 3) and Associated Systems;
DHS/USCIS/PIA-051 Case and Activity Management for
International Operations
If a PIA update is required, please list: Click here to enter text.
SORN:
System covered by existing SORN
If covered by existing SORN, please list: DHS/USCIS/ICE/CBP-001 –
Alien File, Index, and National File Tracking System of Records, September
18, 2017, 82 FR 43556;
DHS/USCIS-007 - Benefits Information System October 19, 2016 81 FR
72069
If a SORN update is required, please list: Click here to enter text.
DHS Privacy Office Comments:
Please describe rationale for privacy compliance determination above.
USCIS is submitting this PTA to discuss Form I-130, Petition for Alien Relative, per
the three-year expiration. Form I-130 is used to allow U.S. citizens or lawful
permanent residents to submit a petition on behalf of alien relatives wishing to
immigrate to the United States.
The form collects an array of PII about the requesting individual, the relative in
question, and any preparer/interpreter/attorney involved. USCIS uses the
information on the form to establish the relationship of the requestor to the relative,
and begin the process of helping a relative immigrate to the United States. All
adjudicated Form I-130s are eventually incorporated into and stored in an A-File.

The DHS Privacy Office finds that this is a privacy sensitive collection, requiring PIA
coverage. Coverage is provided by DHS/USCIS/PIA-003 Integrated Digitization
Document Management Program (IDDMP), which covers the storage of Form I-130 in
EDMS, and DHS/USCIS/PIA-016 Computer Linked Application Information
Management System (CLAIMS 3) and Associated Systems and DHS/USCIS/PIA-051
Case and Activity Management for International Operations, which cover the
processing and storage of Form I-130.
SORN coverage is also required, and is provided by DHS/USCIS/ICE/CBP-001 Alien
File, Index, and National File Tracking System of Records, which covers the use,
collection, and storage of the Form I-130 in the A-File, and DHS/USCIS-007 Benefits
Information System, which covers the use, collection, and storage of PII from
beneficiaries, family members, representatives, and preparers and interpreters.

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Privacy Office
U.S. Department of Homeland Security
Washington, DC 20528
202-343-1717, [email protected]
www.dhs.gov/privacy

The DHS Privacy Office notes that once online/electronic filing is enabled for Form I130, a new PTA should be submitted.

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