G-325a Toc

G325A-INS-TOC-Ext-30Day-04162019.docx

Biographic Information (for Deferred Action)

G-325A TOC

OMB: 1615-0008

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TABLE OF CHANGES – INSTRUCTIONS

Form G-325A, Biographic Information (for Deferred Action)

OMB Number: 1615-0008

04/16/2019


Reason for Revision: Extension with updated PN


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 10/31/2019

Edition Date 03/29/2018



Current Page Number and Section

Current Text

Proposed Text

[Page 2]


USCIS Privacy Act Statement

[Page 2]


USCIS Privacy Act Statement


AUTHORITIES: The information requested on this benefit application, and the associated evidence, is collected under the Immigration and Nationality Act (INA) section 103 and 8 U.S.C. 1103(a)(1), which gives the Secretary of Homeland Security (the Secretary) general authority to enforce and administer the immigration laws.


PURPOSE: The primary purpose for providing the requested information on this form is to determine eligibility of discretionary deferred action on a case-by-case basis, for certain family members of military personnel, military personnel who previously served, and Delayed Entry Program enlistees. The Department of Homeland Security (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 the naturalization process.




ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign government agencies and other authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS-007 - Benefits Information System, October 19, 2016, 81 FR 72069 and DHS/USCIS/ICE/CBP-001 - Alien File, Index, and National File Tracking System of Records, November 21, 2013, 78 FR 69864 (A-File)] 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.




DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to Section 103 of the Immigration and Nationality Act, 8 U.S.C 1103 (a)(1).





PURPOSE: The primary purpose for providing the requested information on this application is to collect information to locate an immigration record to determine eligibility for the benefit you are requesting.







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 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 described in the associated published system of records notices [DHS/USCIS/ICE/CBP-001 Alien File, Index, and National File Tracking System and DHS/USCIS-007 Benefits Information System] and the published privacy impact assessment [DHS/USCIS/PIA-061 Benefit Request Intake Process], which can be found 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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