I-131 Ins Toc

I131-023-INS-TOC-EXT+PN-30Day-06012022.docx

Application for Travel Document

I-131 INS TOC

OMB: 1615-0013

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TABLE OF CHANGES – INSTRUCTIONS

Form I-131, Application for Travel Document

OMB Number: 1615-0013

06/01/2022


Reason for Revision: EXT+PN

Project Phase: 30 Day


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 04/30/2022

Edition Date 04/24/2019 C




Current Page Number and Section

Current Text

Proposed Text

Page 17,

DHS Privacy Notice

[Page 17]


DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act sections 103, 208(c)(1)(C), 211, 212(d)(5)(A), 215 and 8 CFR sections 211.1(a)(3-4), 212.5, and 223.1-223.3.


PURPOSE: The primary purpose for providing the requested information on this application is to apply for a Reentry Permit, Refugee Travel Document, or Advance Parole Document, to include urgent humanitarian reasons or in furtherance of a significant public benefit. DHS uses 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, 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-003(b) Integrated Digitization Document Management Program, DHS/USCIS/PIA-016a Computer Linked Application Information Management System and Associated Systems, and DHS/USCIS/PIA-051 Case and Activity Management for International Operations] 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 17]


DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act sections 103, 208(c)(1)(C), 211, 212(d)(5)(A), 215 and 8 Code of Federal Regulations sections 211.1(a)(3-4), 212.5, and 223.1-223.3.

















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, DHS/USCIS-007 Benefits Information System, and DHS/USCIS-018 Immigration Biometric and Background Check] and the published privacy impact assessments [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems and DHS/USCIS/PIA-051 Case and Activity Management for International Operations], 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
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2022-08-28

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