TABLE OF CHANGES – INSTRUCTIONS
Form I-601, Application for Waiver of Grounds of Inadmissibility
OMB Number: 1615-0029
Reason for Revision: Extension + PN Update
Legend for Proposed Text:
Expires 03/31/2019 Edition Date 08/21/2017 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 21, USCIS Privacy Act Statement |
[Page 21]
USCIS Privacy Act Statement
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act section 212(a), as amended, 8 U.S.C. 1182, and the following.
PURPOSE: The primary purpose for providing the requested information on this application is to determine if you have established eligibility for the inadmissibility waiver for which you are filing. The Department of Homeland Security (DHS) will use the information you provide to grant or deny the waiver you are seeking. If you file this application in immigration court in connection with an application for relief from removal from the United States, the immigration court will use the information you provide to grant or deny the waiver sought. If your case is appealed, the Board of Immigration Appeals will use the information you provide in deciding the appeal.
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 waiver request.
ROUTINE USES: If you file this application with USCIS, DHS may share the information you provide on this application 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. If you file this application in immigration court in connection with an application for relief from removal from the United States, the Executive Office for Immigration Review may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations following approved routine uses described in the associated published system of records notice [69 Fed. Reg. 26179 (2003)]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security. |
[Page 21]
DHS Privacy Notice
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act section 212(a).
PURPOSE: The primary purpose for providing the requested information on this application is to ensure that USCIS has all relevant information necessary to determine if you have established eligibility for the waiver of inadmissibility for which you are filing. DHS uses the information you provide to grant or deny the benefit you are seeking. If you file this application in immigration court in connection with an application for relief from removal from the United States, the immigration court will use the information you provide to grant or deny the waiver you are seeking. If your case is appealed, the Board of Immigration Appeals will use the information you provide in deciding the appeal.
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 in your case or result in denial of your application.
ROUTINE USES: DHS may share the information you provide on this application, and any additional requested evidence, with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses, as described in the associated published system of records notices [DHS/USCIS/ICE/CBP-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 published privacy impact assessments [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems and DHS/USCIS/PIA-051 Case and Activity Management for International Operations,], which can be found at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security. If you file this application in immigration court in connection with an application for relief from removal from the United States, the Executive Office for Immigration Review may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations. Executive Office for Immigration Review follows approved routine uses, as described in the associated published system of records notices [EOIR-001 Records and Management Information System] which can be found at www.justice.gov. Executive Office for Immigration Review may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |