I-589 Form Table of Changes

I589-026-FRM-TOC-83C-OMBReview-09202022.docx

Application for Asylum and for Withholding of Removal

I-589 Form Table of Changes

OMB: 1615-0067

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TABLE OF CHANGES – FORM

Form I-589, Application for Asylum and for Withholding of Removal

OMB Number: 1615-0067

Date 09/20/2022


Reason for Revision: 83C

Project Phase: OMBReview


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 01/31/2023

Edition Date 07/26/2022



Current Page Number and Section

Current Text

Proposed Text

Page 1,


Part A.I. Information About You

[Page 1]


Part A.I. Information About You


1. Alien Registration Number(s) (A-Number) (if any)

2. U.S. Social Security Number (if any)

3. USCIS Online Account Number (if any)


4. Complete Last Name

5. First Name

6. Middle Name


7. What other names have you used (include maiden name and aliases)?


8. Residence in the U.S. (where you physically reside)

Street Number and Name

Apt. Number

City

State

Zip Code

Telephone Number





[Page 1]


Part A.I. Information About You


1. Alien Registration Number(s) (A-Number) (if any)

2. U.S. Social Security Number (if any)

3. USCIS Online Account Number (if any)


4. Complete Last Name

5. First Name

6. Middle Name


7. What other names have you used (include maiden name and aliases)?


8. Residence in the U.S. (where you physically reside)

Street Number and Name

Apt. Number

City

State

Zip Code

Telephone Number

(NOTE: You must be residing in the United States to submit this form.)



Page 9,


Part D. Your Signature

[Page 9]


Part D. Your Signature


I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it are all true and correct. Title 18, United States Code, Section 1546(a), provides in part: Whoever knowingly makes under oath, or as permitted under penalty of perjury under Section 1746 of Title 28, United States Code, knowingly subscribes as true, any false statement with respect to a material fact in any application, affidavit, or other document required by the immigration laws or regulations prescribed thereunder, or knowingly presents any such application, affidavit, or other document containing any such false statement or which fails to contain any reasonable basis in law or fact - shall be fined in accordance with this title or imprisoned for up to 25 years. I authorize the release of any information from my immigration record that U.S. Citizenship and Immigration Services (USCIS) needs to determine eligibility for the benefit I am seeking.





[Staple your photograph here or the photograph of the family member to be included on the extra copy of the application submitted for that person.]




[Page 9]


Part D. Your Signature


I certify, under penalty of perjury under the laws of the United States of America, that this application and the evidence submitted with it are all true and correct. Title 18, United States Code, Section 1546(a), provides in part: Whoever knowingly makes under oath, or as permitted under penalty of perjury under Section 1746 of Title 28, United States Code, knowingly subscribes as true, any false statement with respect to a material fact in any application, affidavit, or other document required by the immigration laws or regulations prescribed thereunder, or knowingly presents any such application, affidavit, or other document containing any such false statement or which fails to contain any reasonable basis in law or fact - shall be fined in accordance with this title or imprisoned for up to 25 years. I certify that I am physically present in the United States or seeking admission at a Port of Entry when I execute this application. I authorize the release of any information from my immigration record that U.S. Citizenship and Immigration Services (USCIS) needs to determine eligibility for the benefit I am seeking.


[Staple your photograph here or the photograph of the family member to be included on the extra copy of the application submitted for that person.]







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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2022-10-03

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