Instructions For Form I-508 - Request For Waiver Of Certain Rights, Privileges, Exemptions And Immunities Page 3

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USCIS Privacy Act Statement
AUTHORITIES: The information requested on this request, and the associated evidence, is collected under 8 USC
1184(b) and 1257(b) and 8 CFR sections 223.2 and 245.1 and part 247.
PURPOSE: The primary purpose for providing the requested information on this request is to determine whether the
requestor has waived the diplomatic rights, privileges, exemptions, and immunities associated with his or her occupational
status, so that he or she may acquire or retain lawful permanent resident status in the United States.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and
any requested evidence, may affect your status in the United States.
ROUTINE USES: The Department of Homeland Security (DHS) may share the information you provide on this request
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-007 - Benefits Information
System and DHS-USCIS-001 - Alien File, Index, and National File Tracking System of Records] which you can find at
DHS may also make the information available, as appropriate, for law enforcement purposes or in
the interest of national security.
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 45 minutes per response, for both forms, including the time for reviewing instructions,
gathering the required documentation and information, completing the request, preparing statements, attaching necessary
documentation, and submitting the request. 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 1615-0025. Do not mail your completed Form I-508 or Form I-508F to this address.
Form I-508 Instructions 05/26/17 N
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