I-600A Supp3-014 Form TOC

TABLE OF CHANGES – FORM

Form I-600A Supplement 3, Request for Action on Approved Form I-600A/I-600

OMB Number: 1615-0028

04/26/2024

Reason for Revision: Revision

Project Phase: 30-Day

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 02/28/2026

Edition Date 04/01/2024

Current Page Number and Section	Current Text	Proposed Text
Page 1, START HERE	[Page 1] START HERE – Type or print in black ink. If you have changed your marital status since filing your Form I-600A or Form I-600, STOP. Do NOT file this supplement. Please see the Instructions for Form I-600A, Application for Advance Processing of an Orphan Petition, and/or Form I-600, Petition to Classify Orphan as an Immediate Relative, for additional information. Answer all questions fully and accurately.  If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed.  If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have?” or “How many times have you departed the United States?”), type or print “None” unless otherwise directed. See USCIS Form G-1055, Fee Schedule, available at www.uscis.gov/g-1055, for information on filing fees.	START HERE – Type or print in black ink. [no change] [deleted] [no change]
Pages 3-4, Part 2. Action Requested on Your Previously Approved Form I-600A or Form I-600	[Page 3] Part 2. Action Requested on Your Previously Approved Form I-600A or Form I-600 Provide the following information about your approved Form I-600A or Form I-600. 1. USCIS Receipt Number Date of Approval (mm/dd/yyyy) Date Approval Expires (mm/dd/yyyy) Location of the Office Where You Filed Your Form I-600A and/or Form I-600 USCIS Online Account # 2. Indicate which one of the following items you are requesting. If any changes have occurred, indicate such change(s) in Item Number 3. You must submit an updated home study if there are any changes or you are requesting an extension. A. A FIRST or SECOND extension of your Form I-600A. B. A THIRD or SUBSEQUENT extension of your Form I-600A. C. A new approval notice based on a significant change or change in the number of children or characteristics (such as age, gender, and/or special needs) of the child or children you intend to adopt after your Form I-600A or Form I-600 was approved. If you are requesting an extension of your approval period and a new approval notice based on a significant change after your suitability determination was approved, you must select either Item Number 2.A. or 2.B. D. A FIRST or SECOND change to a new non-Hague Adoption Convention country for which you were not previously approved in your suitability determination. If you are requesting an extension of your approval period and a change of non-Hague Adoption Convention country, you must select either Item Number 2.A. or 2.B. and indicate the change in Item Number 3. E. A THIRD or SUBSEQUENT change to a new non-Hague Adoption Convention country for which you were not previously approved in your suitability determination. If you are requesting both an extension of your approval period and a second or subsequent change of non-Hague Adoption Convention country, you must select either Item A. or B. in Item Number 2. and indicate the change in Item Number 3. F. A duplicate approval notice. …	Part 2. Action Requested on Your Previously Approved Form I-600A or Form I-600 Provide the following information about your approved Form I-600A or Form I-600. 1. USCIS Receipt Number Date of Approval (mm/dd/yyyy) Date Approval Expires (mm/dd/yyyy) Location of the Office Where You Filed Your Form I-600A and/or Form I-600 USCIS Online Account # 2. Indicate which one of the following items you are requesting. If any changes have occurred, indicate such change(s) in Item Number 3. You must submit an updated home study if there are any changes or you are requesting an extension. 2.a. A FIRST or SECOND extension of your Form I-600A. 2.b. A THIRD or SUBSEQUENT extension of your Form I-600A. 2.c. A new approval notice based on a significant change or change in the number of children or characteristics (such as age, gender, and/or special needs) of the child or children you intend to adopt after your Form I-600A or Form I-600 was approved. If you are requesting an extension of your approval period and a new approval notice based on a significant change after your suitability determination was approved, you must select either Item Number 2.a. or 2.b. 2.d. A FIRST or SECOND change to a new non-Hague Adoption Convention country for which you were not previously approved in your suitability determination. If you are requesting an extension of your approval period and a change of non-Hague Adoption Convention country, you must select either Item Number 2.a. or 2.b. and indicate the change in Item Number 3. 2.e. A THIRD or SUBSEQUENT change to a new non-Hague Adoption Convention country for which you were not previously approved in your suitability determination. If you are requesting both an extension of your approval period and a second or subsequent change of non-Hague Adoption Convention country, you must select either Item Number 2.a. or 2.b. and indicate the change in Item Number 3. 2.f. A duplicate approval notice. …
Page 5, Part 3. Applicant’s/Petitioner’s Statement, Certification, Duty of Disclosure, and Signature	[Page 5] Part 3. Applicant’s/Petitioner’s Statement, Certification, Duty of Disclosure, and Signature NOTE: Read the Penalties section of the Form I-600A and Form I-600 Instructions before completing this section. Applicant’s/Petitioner’s Statement 1. Applicant’s/Petitioner’s Statement Regarding the Interpreter (select the box for either Item A. or B.) A. I can read and understand English, and I have read and understand every question and instruction on this supplement and my answer to every question. B. The interpreter named in Part 5. read to me every question and instruction on this supplement and my answer to every question in [FILLABLE FIELD], a language in which I am fluent and I understood everything. 2. Applicant’s/Petitioner’s Statement Regarding the Preparer (if applicable) At my request, the preparer named in Part 6., [FILLABLE FIELD], prepared this supplement for me based only upon information I provided or authorized. Applicant’s/Petitioner’s Certification Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my suitability and eligibility to adopt and whether the child I am petitioning for is an orphan and eligible to be classified as my immediate relative. I furthermore authorize the release of information contained in this supplement, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I certify, under penalty of perjury under the laws of the United States, that I provided or authorized all of the information in my supplement, I understand all of the information contained in and submitted with my supplement, and that all of this information is complete, true, and correct. Applicant’s/Petitioner’s Duty of Disclosure I understand the ongoing duty to disclose information concerning my suitability and eligibility to adopt, as described in the Form I-600A and/or Form I-600 instructions, and I agree to notify my home study preparer and USCIS of any new information that I am required to disclose. Applicant’s/Petitioner’s Signature 3. Applicant’s/Petitioner’s Signature Date of Signature (mm/dd/yyyy)	Part 3. Applicant’s/Petitioner’s Certification, Duty of Disclosure, and Signature NOTE: Read the Penalties section of the Form I-600A and Form I-600 Instructions before completing this section. [deleted] Applicant’s/Petitioner’s Certification [deleted] I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with my supplement, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 5., understood, all of the responses and information contained in, and submitted with, my supplement, and that all of the responses and the information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. Applicant’s/Petitioner’s Duty of Disclosure [no change] Applicant’s/Petitioner’s Signature 1. Applicant’s/Petitioner’s Signature Date of Signature (mm/dd/yyyy)
Pages 5-6, Part 4. Your Spouse’s Statement, Certification, Duty of Disclosure, and Signature	[Page 5] Part 4. Your Spouse’s Statement, Certification, Duty of Disclosure, and Signature NOTE: Read the Penalties section of the Form I-600A and Form I-600 Instructions before completing this section. Your Spouse’s Statement 1. Your Spouse’s Statement Regarding the Interpreter (select the box for either Item A. or B.) A. I can read and understand English, and have read and understand every question and instruction on this supplement and my answer to every question. B. The interpreter named in Part 5. read to me every question and instruction on this supplement and my answer to every question in [FILLABLE FIELD], a language in which I am fluent, and I understood everything. [Page 6] 2. Your Spouse’s Statement Regarding the Preparer (if applicable) At my request, the preparer named in Part 6., [FILLABLE FIELD], prepared this supplement for me based only upon information I provided or authorized. Your Spouse’s Certification Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my suitability and eligibility to adopt and whether the child my spouse is petitioning for is an orphan and eligible to be classified as our immediate relative. I furthermore authorize release of information contained in this supplement, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I certify under penalty of perjury under the laws of the United States, that I provided or authorized all of the information in this supplement, I understand all of the information contained in and submitted with this supplement, and that all of this information is complete, true, and correct. Your Spouse's Duty of Disclosure I understand the ongoing duty to disclose information concerning my suitability and eligibility to adopt, as described in the Form I-600 and/or I-600A Instructions, and I agree to notify the home study preparer and USCIS of any new information that I am required to disclose. Your Spouse’s Signature 3. Your Spouse’s Signature Date of Signature (mm/dd/yyyy)	Part 4. Your Spouse’s Certification, Duty of Disclosure, and Signature NOTE: Read the Penalties section of the Form I-600A and Form I-600 Instructions before completing this section. [deleted] Your Spouse’s Certification [deleted] I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with my petition, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 5., understood, all of the responses and information contained in, and submitted with, my petition, and that all of the responses and the information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. Your Spouse's Duty of Disclosure [no change] Your Spouse’s Signature 1. Your Spouse’s Signature Date of Signature (mm/dd/yyyy)
Pages 6-7, Part 5. Interpreter’s Contact Information, Certification, and Signature	[Page 6] Part 5. Interpreter’s Contact Information, Certification, and Signature If you and/or your spouse (if married) used an interpreter to read and complete this supplement, provide the following information about the interpreter. Interpreter’s Full Name 1. Interpreter’s Family Name (Last Name) Interpreter’s Given Name (First Name) 2. Interpreter’s Business or Organization Name (if any) Interpreter’s Mailing Address 3. Street Number and Name Apt. Ste. Flr Number City or Town State ZIP Code Province Postal Code Country [Page 7] Interpreter’s Contact Information 4. Interpreter’s Daytime Telephone Number 5. Interpreter’s Mobile Telephone Number (if any) 6. Interpreter’s Email Address (if any) Interpreter’s Certification I certify, under penalty of perjury under the laws of the United States, that: I am fluent in English and [FILLABLE FIELD], which is the same language specified in Part 3. and/or 4., Item B. in Item Number 1., and I have read to this applicant/petitioner and/or the applicant’s/petitioner’s spouse in the identified language every question and instruction on this supplement, and his or her answer to every question. The applicant/petitioner and/or the applicant’s/petitioner’s spouse informed me that he or she understands every instruction, question, and answer on this supplement, including the Applicant’s/Petitioner’s Certification and the Your Spouse’s Certification, and has verified the accuracy of every answer. Interpreter’s Signature 7. Interpreter’s Signature Date of Signature (mm/dd/yyyy)	Part 5. Interpreter’s Contact Information, Certification, and Signature [deleted] Interpreter’s Full Name 1. Interpreter's Family Name (Last Name) Interpreter's Given Name (First Name) 2. Interpreter's Business or Organization Name [deleted] Interpreter’s Contact Information 3. Interpreter's Daytime Telephone Number 4. Interpreter’s Mobile Telephone Number (if any) 5. Interpreter’s Email Address (if any) Interpreter’s Certification and Signature I certify, under penalty of perjury, that I am fluent in English and [Fillable field], and I have interpreted every question on the petition and Instructions and interpreted the petitioner’s and/or petitioner’s spouse’s (if married) answers to the questions in that language, and the petitioner and/or the petitioner’s spouse informed me that they understood every instruction, question, and answer on the petition. [deleted] 6. Interpreter's Signature Date of Signature (mm/dd/yyyy)
Pages 8-9, Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other Than the Applicant/Petitioner and/or Spouse	[Page 8] Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Petition, If Other Than the Applicant/Petitioner and/or Spouse If you and/or your spouse (if married) used a preparer to complete this supplement, provide the following information about the preparer. Preparer’s Full Name 1. Preparer’s Family Name (Last Name) Preparer’s Given Name (First Name) 2. Preparer’s Business or Organization Name (if any) Preparer’s Mailing Address 3. Street Number and Name Apt. Ste. Flr. Number City or Town State ZIP Code Province Postal Code Country [Page 8] Preparer’s Contact Information 4. Preparer’s Daytime Telephone Number 5. Preparer’s Mobile Telephone Number (if any) 6. Preparer’s Email Address (if any) Preparer’s Statement 7. A. I am not an attorney or accredited representative, but have prepared this supplement on behalf of the applicant/petitioner and/or the applicant’s/petitioner’s spouse with the applicant’s/petitioner’s and/or the applicant’s/petitioner’s spouse’s consent. B. I am an attorney or accredited representative and my representation of the applicant/petitioner and/or the applicant’s/petitioner’s spouse in this case □ extends □ does not extend beyond the preparation of this supplement. Preparer’s Certification By my signature, I certify, under penalty of perjury under the laws of the United States, that I prepared this supplement at the request of the applicant/petitioner and/or the applicant’s/petitioner’s spouse. The applicant/petitioner and/or the applicant’s/petitioner’s spouse then reviewed this completed supplement and informed me that he or she undersands all of the information contained in, and submitted with, his or her supplement, including the Appliant’s/Petitioner’s Certification and the Your Spouse’s Certification, and that all of this information is complete, true, and correct. I completed this supplement based only on information that the applicant/petitioner and/or the applicant’s/petitioner’s spouse provided to me or authorized me to obtain or use. Preparer’s Signature 8. Preparer’s Signature Date of Signature (mm/dd/yyyy)	Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Petition, if Other Than the Petitioner and Spouse [deleted] Preparer’s Full Name 1. Preparer’s Family Name (Last Name) Preparer’s Given Name (First Name) 2. Preparer’s Business or Organization Name [deleted] Preparer’s Contact Information 3. Preparer’s Daytime Telephone Number 4. Preparer’s Mobile Telephone Number (if any) 5. Preparer’s Email Address (if any) [deleted] Preparer’s Certification and Signature I certify, under penalty of perjury, that I prepared this petition for the petitioner and/or the petitioner’s spouse (if married) at their request and with express consent and that all of the responses and information contained in and submitted with the petition are complete, true, and correct and reflects only information provided by the petitioner and/or the petitioner’s spouse (if married). The petitioner and/or the petitioner’s spouse (if married) reviewed the responses and information and informed me that they understand the responses and information in or submitted with the petition. [deleted] 6. Preparer's Signature Date of Signature (mm/dd/yyyy)
Page 9, Part 7. Additional Information	[Page 9] Part 7. Additional Information If you need extra space to provide any additional information within this petition, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. If you attach a separate sheet of paper, type or print your full name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Family Name (Last Name) [Auto-populated field] Given Name (First Name) [Auto-populated field] Middle Name [Auto-populated field] 2. A-Number (if any) [Auto-populated field] 3. A. Page Number B. Part Number C. Item Number D. [Fillable field] 4. A. Page Number B. Part Number C. Item Number D. [Fillable field] 5. A. Page Number B. Part Number C. Item Number D. [Fillable field] 6. A. Page Number B. Part Number C. Item Number D. [Fillable field]	[Page 9] Part 7. Additional Information If you need extra space to provide any additional information within this petition, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this petition or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. 1. Family Name (Last Name) [Auto-populated field] Given Name (First Name) [Auto-populated field] Middle Name (if applicable) [Auto-populated field] 2. A-Number (if any) [Auto-populated field] 3. Page Number Part Number Item Number [Fillable field] 4. Page Number Part Number Item Number [Fillable field] 5. Page Number Part Number Item Number [Fillable field] 6. Page Number Part Number Item Number [Fillable field]

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