I-918 Ins Toc

I918 and SuppA-INS-TOC-Ext-OMBReview-12202018.docx

Petition for U Nonimmigrant Status

I-918 INS TOC

OMB: 1615-0104

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TABLE OF CHANGES – INSTRUCTIONS

Form I-918, Petition for U Nonimmigrant Status and Supplement A, Petition for Qualifying Family Member of U-1 Recipient

OMB Number: 1615-0104

12/20/2018


Reason for Revision: Extension, with update to Privacy Notice.


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 02/28/2019

Edition Date 02/07/2017



Current Page Number and Section

Current Text

Proposed Text

Page 16, USCIS Privacy Act Statement

[Page 16]


USCIS Privacy Act Statement


AUTHORITIES: The information requested on Form I-918 and Supplement A, and the associated evidence, is collected under the Immigration and Nationality Act, 8 U.S.C. sections 1101(a)(15)(U), 1184(p), 1182(d)(14), and 8 CFR 214.14.


PURPOSE: The primary purpose for providing the requested information on Form I-918 and Supplement A is to determine if you and your qualifying family member have established eligibility for the immigration benefit for which you are filing. DHS will use the information you provide to grant or deny the immigration benefit you are seeking.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision in your case or result in denial of your Form I-918 and/or Supplement A.



[Page 17]


ROUTINE USES: DHS may share the information you provide on Form I-918 and Supplement A with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS-007 - Benefits Information System and DHS/USCIS-001 - Alien File, Index, and National File Tracking System of Records] which you can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law enforcement purposes
or in the interest of national security.


[Page 16]


DHS Privacy Notice


AUTHORITIES: The information requested on Form I-918 and Supplement A, and the associated evidence, is collected under the Immigration and Nationality Act, sections 101(a)(15)(U), 214(p), 212(d)(14), 8 CFR 212.17 and 214.14.


PURPOSE: The primary purpose for providing the requested information on Form I-918 and Supplement A is to request temporary immigration benefits if you or a qualifying family member are a victim of certain qualifying criminal activity. DHS uses the information you provide to grant or deny the immigration benefit you are seeking.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your Form I-918 and/or Supplement A.


[Page 17]


ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information you provide on Form I-918 and Supplement A as well as any additional requested evidence with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS-001 - Alien File, Index, and National File Tracking System, DHS/USCIS-007 - Benefits Information System, and DHS/USCIS-018 Immigration Biometric and Background Check] and the published privacy impact assessment [DHS/USCIS/PIA-016a Computer Linked Application Information Management System and Associated Systems] which you can find at www.dhs.gov/privacy. DHS may also share the 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
AuthorKim, Andrew I
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File Created2021-01-15

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