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USCIS Privacy Act Statement

AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to

INA section 245A, Section 902 of Public Law 100-204, and the implementing regulations found in 8 CFR Part 245a.

PURPOSE: The primary purpose for providing the requested information on this application is to determine if you have

established eligibility to adjust to lawful permanent resident status. Form I-698 is used by a person who has been granted

temporary residence under INA section 245A of the Immigration and Nationality Act (INA) to apply to USCIS to adjust

to permanent resident status. The section of the Act has been amended by the Immigration Reform and Control Act of

1986 and section 902 of the U.S. Department of State Authorization Bill of 1987. USCIS officers use the application to

determine if applicants are eligible for the benefit sought.

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.

ROUTINE USES: The information you provide on this application is confidential and protected from disclosure under

INA section 245A(c)(5). DHS may share the information you provide on this application 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-001 - Alien File, Index, and National File Tracking System

of Records and DHS/USCIS-007 - Benefits Information System] which can be found at , but only

if permitted under the applicable confidentiality provisions. DHS may also share the information 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 1 hour and 15 minutes per response, including the time for reviewing instructions, gathering

the required documentation and information, completing the application, preparing statements, attaching necessary

documentation, and submitting the application. The collection of biometrics is estimated to require 1 hour and 10

minutes. 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 1615-0035. Do not

mail your completed Form I-698 to this address.

Form I-698 Instructions 03/03/17 Y

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Instructions For Form I-698 - Application To Adjust Status From Temporary To Permanent Resident (Under Section 245a Of The Ina) Page 8