Instrument - ILSAA - Eligible Afghan Arrivals Intake Interview - DRAFT_mj_al-clean

Immigration Legal Services for Afghan Arrivals (ILSAA) Eligible Afghan Arrival (EAA) Intake Interview

OMB Control No.: XXXX-XXXX

Expiration Date: XX/XX/XXXX

The interview is expected to take about 45 minutes. Your participation is voluntary, and you can decline to answer any question or stop participating at any time. Information collected will be shared privately with USCRI and the ILSAA legal team and may be shared with the Office of Refugee Resettlement (ORR). Aggregate data without any of your personally identifiable information may be shared with partner organizations to improve services provided to you and other Afghans.

A federal agency may not conduct or sponsor, and no individual or entity is required to respond to, nor shall an individual or entity be subject to a penalty or failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless that collection of information displays a currently valid OMB control number. The OMB #: is XXXX-XXXX and the expiration date is XX/XX/XXXX. If you have any comments on this collection of information, please contact Thomas Wetterhan, Operations Director, ICF, by email at [email protected].

• What is your first name?

• What is your last name?

• Are you the only applicant? Or are you looking to add any family members to your application?

  • What is the full name of each family member?

• What is your gender?

• Could you verify your preferred language for me?

• What is your preferred telephone number?

• What is your preferred email address?

• May I ask how you heard about us?

  • If they say they have not heard about ILSAA - Is it possible that someone reached out to us on your behalf?

• Are you currently working with an attorney?

• Can you tell me what date you entered the United States?

• Were you paroled into the United States under Operation Allies Welcome?

• Can you tell me what location you entered the United States from?

• Can you tell me your current I-94 status?

  • Can you provide me with the expiration date for your I-94 status?

  • Did you have a different I-94 status when you entered the United States? Can you tell me that status?

• Do you have an Employment Authorization Document?

  • What date will your Employment Authorization Document expire?

• Can you provide me with your Alien Registration Number?

• Can you provide me with your passport number?

• Which country issued your passport?

• Have you been to the United States previously?

  • What dates were you in the United States previously?

  • What was your I-94 status during your previous time in the United States?

• Have you ever received a Notice to Appear?

• Have you ever filed an application for the United States Citizenship and Immigration Services?

• Have you ever filed for immigration benefits in any other country?

• Do you have any pending immigration applications in any other country?

  • Which country do you have a pending immigration application?

• Do you prefer to be contacted by phone? Or by email?

• Are there any particular weekdays when you'd prefer to be contacted?

• Is there a particular time when you'd prefer to be contacted? Please include your time zone as well.

• In case we can't reach you, would you like to provide a backup contact? If you'd like.

  • Could you provide me with your backup contact's full name?

  • Can you provide me with your backup contact's phone number and also an email address if there is one?

  • What is your backup contact’s relationship to you?

• Can you provide me with your street address? You're welcome to spell it for my interpreter, then he/she can spell it for me.

• Which city do you live in?

• Which state do you live in?

• Can you provide me with your zip code?

• Can you provide me with your date of birth?

• Which city or province were you born in?

• Could you verify your marital status for me?

• Do you have any children? If yes, then how many?

• Have you ever been arrested inside or outside the United States?

  • Where were you arrested? And by which law enforcement organization?

• At your earliest convenience, could you email us your I-94 and your passport as part of our review?