Instructions For Application For Regional Center Designation Under The Immigrant Investor Program ( Form I-924) Page 14

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PURPOSE: The primary purpose for collecting the requested information on this application is to determine if the
regional center has established eligibility for regional center designation or amended designation. DHS will use the
information you provide to grant or deny the regional center application. The identifying information requested on this
application relating to the principals of the regional center and the owners of associated new commercial enterprises
will allow DHS to perform standard background checks with law enforcement agencies. These background checks may
reveal derogatory information that may result in denial of your application and/or termination of the regional center’s
designation.
DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and
any requested evidence, may delay a final decision in your case or result in denial of your application.
ROUTINE USES: 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-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 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 Office of Management and Budget (OMB) control number. The public
reporting burden for this collection of information is estimated at 51 hours per response, including the time for reviewing
instructions, gathering the required documentation and information, completing and submitting the application, preparing
statements, and attaching necessary documentation. 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. 1615-0061. Do not mail your completed Form I-924 to this address.
Form I-924 Instructions 12/23/16 N
Page 14 of 14

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