TABLE OF CHANGES – FORM
Form N-336, Request for Hearing on a Decision in Naturalization Proceedings Under Section 336
OMB Number: 1615-0050
Reason for Revision: Biometrics Rule Project Phase: NPRM
Legend for Proposed Text:
Expires 05/31/2019 Edition Date 12/23/2016 |
Current Page Number and Section |
Current Text |
Proposed Text |
Pages 1-2, Part 1. Information About You, the Naturalization Applicant |
[page 1]
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List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 1]
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List all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Page 2, Part 3. Biographic Information |
[page 2]
Part 3. Biographic Information
1. Ethnicity (Select only one box) Hispanic or Latino Not Hispanic or Latino
2. Race (Select all applicable boxes) White Asian Black or African American American Indian or Alaska Native Native Hawaiian or Other Pacific Islander
3. Height Feet Inches
4. Weight Pounds
5. Eye Color (Select only one box) Black Blue Brown Gray Green Hazel Maroon Pink Unknown/Other
6. Hair Color (Select only one box) Bald (No hair) Black Blond Brown Gray Red Sandy White Unknown/Other
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[page 2]
[deleted] |
Page 3, Part 4. Reason You Are Requesting a Hearing |
[page 3]
Part 4. Reason You Are Requesting a Hearing
Provide the reasons you are requesting a hearing on your denied Form N-400. If you need extra space to complete this section, use the space provided in Part 9. Additional Information.
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[page 3]
Part 3. Reason You Are Requesting a Hearing
Provide the reasons you are requesting a hearing on your denied Form N-400. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.
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Page 4, Part 5. Accommodations for Individuals With Disabilities and/or Impairments |
[page 4]
Part 5. Accommodations for Individuals With Disabilities and/or Impairments
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[page 4]
Part 4. Accommodations for Individuals With Disabilities and/or Impairments
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Pages 4-5, Part 6. Naturalization Applicant's Statement, Contact Information, Certification, and Signature |
[page 4]
Part 6. Naturalization Applicant's Statement, Contact Information, Certification, and Signature
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B. The interpreter named in Part 7. read to me every question and instruction on this request and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.
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At my request, the preparer named in Part 8., [Fillable Field], prepared this request for me based only upon information I provided or authorized.
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[page 5]
I further authorize release of information contained in this request, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:
1) I reviewed and provided or authorized all of the information in my request;
2) I understood all of the information contained in, and submitted with, my request; and
3) All of this information was complete, true, and correct at the time of filing.
I certify, under penalty of perjury, that I provided or authorized all of the information in my request, I understand all of the information contained in, and submitted with, my request, and that all of this information is complete, true, and correct.
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[page 4]
Part 5. Naturalization Applicant's Statement, Contact Information, Certification, and Signature
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B. The interpreter named in Part 6. read to me every question and instruction on this request and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.
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At my request, the preparer named in Part 7., [Fillable Field], prepared this request for me based only upon information I provided or authorized.
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[page 5]
I further authorize release of information contained in this request, in supporting documents, and in my USCIS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.
[deleted]
I certify, under penalty of perjury, that I provided or authorized all of the information in my request, I understand all of the information contained in, and submitted with, my request, and that all of this information is complete, true, and correct.
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Pages 5-6, Part 7. Interpreter's Contact Information, Certification, and Signature |
[page 5]
Part 7. Interpreter's Contact Information, Certification, and Signature
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[page 6]
I am fluent in English and [Fillable Field], which is the same language specified in Part 6., Item B., in Item Number 1.; and I have read to this naturalization applicant in the identified language every question and instruction on this request and his or her answer to every question. The naturalization applicant informed me that he or she understands every instruction, question, and answer on the request, including the Naturalization Applicant's Certification, and has verified the accuracy of every answer.
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[page 5]
Part 6. Interpreter's Contact Information, Certification, and Signature
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[page 6]
I am fluent in English and [Fillable Field], which is the same language specified in Part 5., Item B., in Item Number 1.; and I have read to this naturalization applicant in the identified language every question and instruction on this request and his or her answer to every question. The naturalization applicant informed me that he or she understands every instruction, question, and answer on the request, including the Naturalization Applicant's Certification, and has verified the accuracy of every answer.
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Pages 6-7, Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other Than the Naturalization Applicant |
[page 6]
Part 8. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other Than the Naturalization Applicant
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[page 6]
Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Request, if Other Than the Naturalization Applicant
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Page 8, Part 9. Additional Information |
[page 8]
Part 9. Additional Information
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[page 8]
Part 8. Additional Information
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Mulvihill, Timothy R |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |