G-1515 Table of Changes

G-I515-003-FRM-TOC-30day FRN.docx

Civics and Citizenship Toolkit/Teacher Training Registration

G-1515 Table of Changes

OMB: 1615-0120

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TABLE OF CHANGES – FORM

Form G-1515, Civics and Citizenship Toolkit Registration Form

OMB Number: 1615-0120

Expires 12/31/2020



Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 12/31/2020

Edition Date 02/04/2019



Current Page Number and Section

Current Text

Proposed Text



Page 1, title of form



Register for a free copy of the Civics and Citizenship Toolkit

[page 1]


Register for a FREE Civics and Citizenship toolkit



Page 1, Eligibility Requirements



Eligibility Requirements

[page 1]


No changes



Page 1, Eligibility Requirements (bulleted items)



  • All eligible organizations must register to receive a free copy of the Toolkit.

  • Registration is limited to immigrant-serving organizations in the United States.

[page 1]


  • Immigrant-serving organizations in the United States only.

  • Eligible organizations must register to receive a free Toolkit.

  • Eligible organizations are limited to receiving one free Toolkit.




Page 1, Example of eligible organizations include:



  • Community-based organizations or nongovernmental organizations that work with immigrants

  • K-12 schools, adult education centers, community colleges, universities, and other educational institutions

  • Ethnic or home country organizations

  • Libraries: K-12, public, academic, etc.

  • Faith-based organizations

  • Volunteer groups

  • Civic and service clubs

  • Other organizations that provide educational resources to immigrants


[page 1]


  • Community-based organizations or nongovernmental organizations that work with immigrants

  • K-12 schools, adult education centers, community colleges, universities, and other educational institutions

  • Government agency (federal, state, local)

  • Ethnic or home country organizations

  • Libraries

  • Faith-based organizations

  • Volunteer groups

  • Civic and service clubs

  • Other organizations that provide educational resources to immigrants, including museums



Page 1, first paragraph under the section entitled, Example of eligible organizations include:


Registration is subject to review to ensure eligibility. If eligible, organizations will receive one copy of the Toolkit on a first-come, first-served basis. Resources are limited. See below for information on purchasing additional copies. Registration will be open while supplies last.

[page 1]


No changes



Page 1 and 2, PERSONAL REQUESTS BY INDIVIDUALS WILL NOT BE ACCEPTED.



PERSONAL REQUESTS BY INDIVIDUALS WILL NOT BE ACCEPTED. For personal requests visit the U.S. Government Bookstore.

[page 1 and 2]


USCIS WILL NOT ACCEPT PERSONAL REQUESTS FROM INDIVIDUALS. For personal requests, or to purchase additional copies, visit the U.S. Government Bookstore.



Page 2 (a new line has been added under the section above)



N/A

[page 2]


Please make sure to enter your organization’s correct mailing address on the registration form to receive your toolkit.



Page 2, *Required fields



*Required fields

[page 2]


*Required Fields



Page 2, Name of Organization* (fillable field)



Name of Organization*

[page 2]


No changes



Page 2, Type of Organization* (fillable field)



Type of Organization

(drop down menu)


  • Please select one

  • Community and/or fait-based organization

  • Educational institution

  • Government agency (federal, state, local)

  • Library

  • Refugee resettlement program

  • Volunteer service/civic organization

  • other

[page 2]


Type of Organization*

(drop down menu)


  • Community-based organization or nongovernmental organization

  • K-12 school or other educational institution

  • Government agency (federal, state, local)

  • Ethnic or home country organization

  • Library

  • Faith-based organization

  • Volunteer group

  • Civic and/or service clubs

  • Other




Page 2, If you selected ‘other’, please specify (drop down menu)



If you selected “other,” please specify

[page 2]


No changes



Page 2, First Name* (fillable field)



First Name*

[page 2]


No changes



Page 2, Last Name* (fillable field)



Last Name*

[page 2]


No changes



Page 2, Title (fillable field)



Title

[page 2]


No changes



Page 2, Email* (fillable field)



Email*

[page 2]


No changes



Page 2, Organization Phone*

(Format: 5551234567)



Organization Phone*

(Format: 5551234567)

[page 2]


No changes



Page 2, Phone Ext. (fillable field)



Phone Ext.

[page 2]


No changes



Page 2, Organization Street 1* (fillable field)



Organization Street 1*

[page 2]


No changes



Page 2, Organization Street 2 (fillable field)



Organization Street 2

[page 2]


No changes



Page 2, Organization City* (fillable field)



Organization City*

[page 2]


No changes



Page 2, Organization State*

(Drop down menu)

Please select a State



Organization State*

(Drop down menu)

Please select a state

[page 2]


No changes



Page 2, Organization ZIP Code* (fillable field)



Organization ZIP Code*

[page 2]


No changes



Page 2,+4 Code (fillable field)



+4 Code

[page 2]


No changes



Page 3, Organization Website

Please enter the full URL. Format: http://www.yoursite.com OR https://www.yoursite.com



Organization Website

Please enter the full URL. Format: http://www.yoursite.com OR https://www.yoursite.com

[page 3]


No changes



Page 3,

Shape1 Shape2  Please check this box if you do NOT want U.S. Citizenship and Immigration Services (USCIS) to contact you in the future about its citizenship-related products, resources, and training opportunities. Please contact us at [email protected] if you have registered with our site previously and would like to be removed from our mailing list. NOTE: If you do not check the box, USCIS will contact you in the future about its citizenship-related products, resources, and training opportunities.



Shape3 Shape4  Please check this box if you do NOT want U.S. Citizenship and Immigration Services (USCIS) to contact you in the future about its citizenship-related products, resources, and training opportunities. Please contact us at [email protected] if you have registered with our site previously and would like to be removed from our mailing list. NOTE: If you do not check the box, USCIS will contact you in the future about its citizenship-related products, resources, and training opportunities.

[page 3]


Please contact us at [email protected] if you have specific questions about your Toolkit registration.



Page 3, REGISTER (button)



REGISTER (button)

[page 3]


No changes



Page 3, Purchasing Information




Purchasing Information

Additional Toolkits may be purchased from the U.S. Government Bookstore. There are no restrictions to purchase the Toolkit. Interested individuals or organizations that do not qualify to receive a free Toolkit may purchase a copy instead.

[page 3]


You may purchase additional toolkits from the U.S. Government Bookstore. There are no restrictions to purchase the toolkit. If you do not qualify to receive a free toolkit, you may purchase one instead.




Page 3, Privacy Act Statement




Privacy Act Statement

AUTHORITY: The information requested on this form is collected pursuant to § 451(f)(2) of the Homeland Security Act of 2002, Public Law 107-296.

PURPOSES: The primary purpose for providing the requested information on this form is to request a copy of the Civics and Citizenship Toolkit. Contact information may also be used to provide information regarding USCIS citizenship-related products, resources, and training opportunities.

DISCLOSURE: The information you provide is voluntary; however, failure to provide full contact information may prevent USCIS from sending you a copy of the Civics and Citizenship Toolkit.

ROUTINE USES: The information will be used by and disclosed to DHS personnel and contractors or other agents who need the information to fulfill orders and to deliver future updates regarding USCIS citizenship-related products, resources, and training opportunities. This includes using the information as necessary and authorized by the routine uses published in DHS/All-002 Department of Homeland Security Mailing and Other Lists System of Records, available at www.dhs.gov/privacy


[page 3]


Privacy Act Statement

AUTHORITY: The information requested on this form is collected under Homeland Security Act of 2002 Section 451(f)(2).

PURPOSE: The primary purpose for providing the requested information on this form is to request a copy of the Civics and Citizenship Toolkit and to enable DHS to deliver future updates regarding citizenship-related products, resources, and training opportunities. DHS uses the information to provide you with a toolkit.

DISCLOSURE: The information you provide is voluntary; however, failure to provide full contact information may prevent DHS from sending you a copy of the Civics and Citizenship Toolkit.

ROUTINE USES: DHS may share the information you provide with DHS personnel and contractors or other agents who need the information to send you a Civics and Citizenship Toolkit and to deliver future updates regarding USCIS citizenship-related products, resources, and training opportunities. DHS follows approved routine uses described in the associated published system of records notice [DHS/ALL-002 DHS Mailing and Other Lists System] and the published privacy impact assessment [DHS/ALL/PIA-006 Department of Homeland Security General Contact Lists], which you can find at www.dhs.gov/privacy.


Page 3, Paperwork Reduction Act

PAPERWORK REDUCTION ACT: An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The public reporting burden for this collection of information is estimated at 10 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comment regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: U.S. Citizenship and Immigration Services, Regulatory Products Division, Office of the Executive Secretariat, 20 Massachusetts Ave., N.W., Washington, DC 20529-2020. Do not mail your application to this address.




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMulvihill, Timothy R
File Modified0000-00-00
File Created2021-01-11

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