I-941 Instructions Table of Changes

I941-008-INS-TOC-EXT-OMBReview-01062022.docx

Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

I-941 Instructions Table of Changes

OMB: 1615-0136

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TABLE OF CHANGES – INSTRUCTIONS

Form I-941, Application for Entrepreneur Parole

OMB Number: 1615-0136

01/06/2022


Reason for Revision:

Project Phase:


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 04/30/2022

Edition Date 04/24/2019



Current Page Number and Section

Current Text

Proposed Text

Page 13,

USCIS Privacy Act Statement

[Page 13]


USCIS Privacy Act Statement


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act (INA) sections 103(a)(1) and (3), 8 U.S.C. 1103(a)(1), (3); INA 274A(h)(3)(B), 8 U.S.C. 1324a(h)(3)(B); INA 212(d)(5), 8 U.S.C. 1182(d)(5); and sections 101(b)(1)(F) and 402(4) of the Homeland Security Act.

PURPOSE: DHS uses the information you provide on this application to determine whether you meet the criteria for consideration for significant public benefit parole as an entrepreneur and otherwise merit a favorable exercise of DHS’ parole authority.

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-001 - Alien File, Index, and National File Tracking System and DHS/USCIS-007 - Benefits Information System] and the published privacy impact assessments [DHS/USCIS/PIA-016a Computer Linked Application Information Management System 3 and Associated Systems] which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.


[Page 13]


DHS Privacy Notice


[no change]





























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-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 the published privacy impact assessments [DHS/USCIS/PIA-016a Computer Linked Application Information Management System 3 and DHS/USCIS/PIA-083 - USCIS Enterprise Collaboration Network (ECN)] which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCarter, Pea Meng
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File Created2022-01-28

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