Ins Toc 83c

G1450-INS-TOC-OMBReview-83C-11062018.docx

USCIS Electronic Payment Processing

INS TOC 83C

OMB: 1615-0131

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TABLE OF CHANGES – INSTRUCTIONS

Form G-1450, Authorization for Credit Card Transactions

OMB Number: 1615-0131

11/06/2018


Reason for Revision: 83C


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes



Current Page Number and Section

Current Text

Proposed Text

[Page 1]


What Is the Purpose of Form G-1450?

[Page 1]


What Is the Purpose of Form G-1450?


Use Form G-1450, Authorization for Credit Card Transactions, to pay the filing fee and biometric services fee (if applicable) by credit card for an application, petition, or request that you are filing with a U.S. Citizenship and Immigration Services (USCIS) Lockbox.


[Page 1]


What Is the Purpose of Form G-1450?


Use Form G-1450, Authorization for Credit Card Transactions, to pay the filing fee and biometric services fee (if applicable) for an application, petition, or request that you are filing with a U.S. Citizenship and Immigration Services (USCIS) Lockbox, by credit card.

[Page 1]


General Instructions


[Page 1]


General Instructions


USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.



[Page 1]


General Instructions


USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not have Internet access, you may call the USCIS Contact Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.



[Page 1]


DHS Privacy Notice

[Page 1]


DHS Privacy Notice



PURPOSE: The primary purpose for providing the requested information is to authorize the USCIS Lockbox to make an electronic credit card payment in Pay.gov, which is owned and operated by the Department of Treasury, for the filing fee and biometric services fee associated with a benefit request form. DHS processes your case when the payment is received in full.



ROUTINE USES: DHS may share the information you provide on this form to USCIS personnel and contractors or other agents who need the information to assist in activities related to processing associated fees. Additionally, USCIS may disclose the information to other Federal, state, local, and authorized organizations. DHS follows approved routine uses described in the associated published system or records notices [DHS/USCIS/ICE/CBP-001 – Alien File, Index, and National File Tracking, DHS-USCIS-007 – Benefits Information System] and published privacy impact assessments [DHS/USCIS/PIA-061 Benefit Request Intake Process], available at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.

[Page 1]


DHS Privacy Notice



PURPOSE: The primary purpose for providing the requested information is to authorize the USCIS Lockbox to make an electronic credit card payment in Pay.gov, which is owned and operated by the Department of Treasury, for the filing fee and biometric services fee associated with a benefit request form. DHS processes your case when the payment is received in full.



ROUTINE USES: DHS may share the information you provide on this form to USCIS personnel and contractors or other agents who need the information to assist in activities related to processing associated fees. Additionally, USCIS may disclose the information to other Federal, state, local, and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS/ICE/CBP-001 - Alien File, Index, and National File Tracking, DHS-USCIS-007 - Benefits Information System] and published privacy impact assessments [DHS/USCIS/PIA-061 Benefit Request Intake Process], available at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorRoach, Quiana E
File Modified0000-00-00
File Created2021-01-20

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