USCIS Privacy Act Statement
AUTHORITY: The information requested on this application, petition, and/or supplement, and the associated evidence, is collected
under Section 101(b)(1)(F) of the Immigration and Nationality Act (INA) [8 USC 1101], 8 CFR 204.3, and 8 CFR 204.311.
PURPOSE: The purpose of Supplement 1 is to collect information on any adult members of the household.
This Supplement must be completed for any individual, other than you and your spouse (if married), who has the same principal
residence as you and is 18 years of age or older on or before the date that Form I-600A or Form I-600 is filed. Residence is defined as
the place of general abode or a person's principal, actual dwelling place in fact, without regard to intent. USCIS reserves the right to
request information on any household member who has not yet reached his or her 18th birthday before the date when Form I-600A or
Form I-600 is filed, or who does not actually live at the same residence, but whose presence in the residence is relevant to the issue of
your and your spouse's suitability to adopt.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested
evidence, may delay a final decision or result in denial of your application or petition.
ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign government
agencies and authorized organizations following approved routine uses described in the associated published system of records notices
[DHS/USCIS-005 - Inter-Country Adoptions Security and DHS/USCIS-001 - Alien File, Index, and National File Tracking System of
Records, which can be found at The information may also be shared, as appropriate, for law enforcement
purposes or in the interest of national security.
Form I-600A/I-600 Supplement 1 12/23/16 N
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