G-1190 Table of Changes

TABLE OF CHANGES – FORM

Form G-1190, Application for Free Training for Civics and Citizenship Teachers of Adults

OMB Number: 1615-0120

05/20/2020

Reason for Revision:

Project Phase: FOReview

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 12/31/2020

Edition Date 12/06/2017

Current Page Number and Section	Current Text	Proposed Text
Page 1, Registration Form’s Information	[Page 1] Registration Form's Information USCIS offers free training events for adult educators, volunteers, and teachers. These events are designed to enhance the skills needed to teach U.S. history, civics, and the naturalization process to immigrant students. To find other available training materials, please visit the Citizenship Resource Center at www.uscis.gov/citizenship. To register for a training opportunity in your area, please complete and submit the registration form below. Please note there will be no on-site registration the day of the event. Registrations will be accepted up to 10 business days in advance of the training date. Space is limited. Dates, times, and locations are subject to change. Please visit our website at www.uscis.gov/teachertraining regularly for the latest information. Today’s Date (mm/dd/yyyy) [fillable field] Your Fax Number (with area code) [fillable field] Training Location (City, State and Date) Registrant’s First Name [fillable field] Registrant’s Last Name [fillable field]	[Page 1] Registration Form's Information USCIS offers free training events for adult educators, volunteers, and teachers. These events are designed to enhance the skills needed to teach U.S. history, civics, and the naturalization process to immigrant students. To find other available training materials, please visit the Citizenship Resource Center at www.uscis.gov/citizenship. To register for a training opportunity in your area, please complete and submit the registration form below. We will accept registrations up to 10 business days before the training date. Space is limited. Dates, times, and locations are subject to change. Please visit our website at www.uscis.gov/teachertraining regularly for the latest information. For special accommodation requests, please email the [email protected] at least 45 days before the training. [deleted]
Page 1, Registrant’s Information	[Page 1] Registrant’s Information Registrant’s Name Registrant’s First Name [fillable field] Registrant’s Last Name {fillable field] You are a (check all that apply): [] ESL Teacher [] EL/Civics Teacher [] Citizenship Teacher [] Volunteer [] Administrator [] Other (specify): [fillable field] Organization Name [fillable field] Position Title [fillable field] Street Number and Name [fillable field] City [fillable field] State [fillable field] ZIP Code [fillable field] Registrant’s Email Address (if any) [fillable field] Registrant’s Telephone Number (including area code) [fillable field] How did you hear about this training? [] Presentation [] Flier [] Newsletter [] USCIS Website [] Coworker [] My employer [] Office of Citizenship Email [] Community Relations Officer [] Other (specify): [fillable field] [] Please check this box if you do not want U.S. Citizenship and Immigration Services Office of Citizenship to contact you in the future about 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, U.S. Citizenship and Immigration Services Office of Citizenship will contact you in the future about citizenship-related products, resources, and training opportunities. Submit Registration Form by Email [button] Or Fax to 202-357-7946	[Page 1] Registrant’s Information Registrant’s Name (First Name, Last Name) [fillable field] Registrant’s Email Address [fillable field] Registrant’s Telephone Number (including area code) [fillable field] Name of Organization (if you are not connected to an organization, Type N/A) [fillable field] Organization’s Address (if N/A, this should not appear) [fillable field] Zip Code [fillable field] City [fillable field] State [fillable field] [Moved down]
Page 1, Training Location (City, State and Date)	[new]	[Page 1] Training Location (City, State and Date) Seminar Location (city and state drop down) Seminar Date (drop down) How would you describe your program? (Select one) [] Community-Based Organization [] Faith-Based Organization [] Public School Adult Education [] College/University [] Library [] Museum [] Business or other for-profit organization [] Other (please specify) – text box What services are offered at your organization? (Select all that apply) [] Citizenship Education [] ESL Classes [] EL/Civics Classes [] GED or other Test Prep Classes [] Adult Basic Education [] Family Literacy [] Legal Services [] Filing N-400 Application for Naturalization Online [] Other (please specify) – text box What is your position in your organization? (Select all that apply): [] Citizenship Teacher [] ESL Teacher [] EL/Civics Teacher [] Teacher (Other) [] Volunteer [] Education Program Coordinator/Administrator [] Social Services Coordinator [] Administrator (Other) [] Attorney/Legal Services Staff [] Librarian/Library Staff [] Museum Staff [] Other (please specify) – text box In what capacity do you work in your organization? (Select one) [] Full-time, paid [] Part-time, paid [] Volunteer Approximately, how many of your students have naturalized in the past year? (Select one) [] 0 [] 1-5 [] 6-10 [] 11-15 [] 16-20 [] 20+ [] Not sure [] N/A Do you use the educational resources on the USCIS Citizenship Resource Center? (Select one) [] Yes [] No How did you hear about this training? (Select all that apply) [] Flyer [] Newsletter [] USCIS website [] Co-worker [] Employer [] Office of Citizenship email [] Community relations officer [] USCIS information session [] Presentation [] Social media [] Other (please specify) - text box Do you want USCIS’ Office of Citizenship to contact you in the future about its citizenship-related products, resources, and training opportunities? (Select one) [] Yes [] No [] Already on the contact list [] Unsubscribe Register for Event Button [button]
Page 2, Special Accommodations (needed at the event)	[Page 2] Special Accommodations (needed at the event) If you would like to request special accommodations to attend a training seminar, please contact us at [email protected] at least one week prior to the training to allow us time to make arrangements.	[Page ] [deleted]
Page 2, DHS Privacy Notice	[Page 2] DHS Privacy Notice AUTHORITY: The information requested on this form is collected pursuant to section 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 register for a USCIS Office of Citizenship sponsored Teacher Training Seminar and to deliver future updates regarding citizenship-related products, resources, and training opportunities. DISCLOSURE: The information you provide is voluntary; however, failure to provide full contact information may prevent you from successfully registering for a USCIS sponsored Teacher Training seminar. ROUTINE USES: The information will be used by and disclosed to DHS personnel and contractors or other agents who need the information to register individuals for a USCIS sponsored Teacher Training Seminar and to deliver future updates regarding USCIS citizenship-related products, resources, and training opportunities. USCIS holds any external events in government owned facilities, to include a local county library, a public school institution, and other government facilities. USCIS may also share registration information with the hosting organization. This includes using the information as necessary and authorized by the routine uses published in DHS/A11-003 – Department of Homeland Security General Training Records, available at www.dhs.gov/privacy.	DHS Privacy Notice AUTHORITY: The information requested on this form is collected under Homeland Security Act of 2002 Section 451(f)(2). PURPOSES: The primary purpose for providing the requested information on this form is to register for a USCIS Office of Citizenship sponsored Teacher Training Seminar and to enable USCIS to deliver future updates regarding citizenship-related products, resources, and training opportunities. DHS uses the information you provide to register you for the USCIS-sponsored Teacher Training Seminar you are seeking to attend. DISCLOSURE: The information you provide is voluntary. However, failure to provide full contact information may prevent you from successfully registering and receiving information related to USCIS-sponsored Teacher Training seminars. ROUTINE USES: DHS may share the information you provide with DHS personnel and contractors or other agents who need the information to register you for the USCIS-sponsored Teacher Training Seminar and to deliver future updates regarding USCIS citizenship-related products, resources, and training opportunities. USCIS holds training events in government owned facilities, to include a local county library, a public school institution, and other government facilities. USCIS may also share registration information with the hosting organization. DHS follows approved routine uses described in the associated published system of records notices [DHS/ALL-002 DHS Mailing and Other Lists System and DHS/ALL-003 - Department of Homeland Security General Training Records] 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 2, Paperwork Reduction Act	[Page 2] 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 current valid Office of Management and Budget (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 comments 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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave., NW, Washington, DC 20529-2020; OMB No. 1615-0120. Do not mail your application to this address.	[Page ] 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 Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 5 minutes per response, including the time for reviewing instructions and completing and submitting the form. Send comments 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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave., NW, Washington, DC 20529-2020; OMB No. 1615-0120. Do not mail your application to this address.

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