Uscis Form I-407 - Instructions For Record Of Abandonment Of Lawful Permanent Residential Status Page 3

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Where To File?
Please see the USCIS Web site at
or call the National Customer Service Center at 1-800-375-5283
for the most current information about where to file this form. For TTY (deaf or hard of hearing) call: 1-800-767-1833.
USCIS Privacy Act Statement
AUTHORITIES: The information requested on this form, and the associated evidence, is collected pursuant to section
103(a)(3) of the Immigration and Nationality Act.
PURPOSE: The primary purpose for providing the requested information on this form is to provide a means for lawful
permanent resident aliens of the United States to abandon their status.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and
any requested evidence, may delay or prevent USCIS from processing your request to abandon your status.
ROUTINE USES: The information you provide on this form may be shared with other Federal, State, local, and foreign
government agencies and authorized organizations in accordance with approved routine uses, as described in the
associated published system of records notices [DHS/USCIS-001 - Alien File, Index, and National File Tracking
System and the DHS-USCIS-007 - Benefits Information System September 29, 2008, which can be found at
Paperwork Reduction Act
An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control number. The public reporting burden for this collection of
information is estimated at 15 minutes per response, including the time for reviewing instructions and completing and
submitting the form. Send comments regarding this burden estimate or any other aspect of this collection of information,
including suggestions for reducing this burden to: U.S. Citizenship and Immigration Services, Regulatory Coordination
Division, Office of Policy and Strategy, 20 Massachusetts Ave., NW, Washington, DC 20529-2140; OMB No. 1615-0130.
Do not mail your completed Form I-407 to this address.
Form I-407 Instructions 02/26/15 N
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