Instructions For Petition For Qualifying Family Member Of A U-1 Nonimmigrant (Form I-929) Page 5

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DISCLOSURE: The information you provide is voluntary.
Checklist
However, failure to provide the requested information, and
any requested evidence, may delay a final decision or result in
Did you answer each question on the Form I-929
denial of your petition.
according to the instructions on the form?
ROUTINE USES: DHS may share the information you
Did you sign and date Form I-929?
provide on this form with other government agencies. DHS
follows approved routine uses described in the associated
Did you submit proof of your lawful permanent
published Federal Register notices [DHS/USCIS/ICE/CBP-001
resident status or pending Form I-485 based on U-1
Alien File, Index and National File Tracking System of
nonimmigrant status?
Records, November 21, 2013, 78 FR 69864, DHS/USCIS-007
Benefits Information System, September 29, 2008, 73 FR
Did you submit proof of relationship, including
56596]. DHS may also share the information, as appropriate,
documents needing copies and/or translations?
for law enforcement purposes or in the interest of national
security.
Did you submit proof of extreme hardship?
Did you submit evidence to establish that discretion
Paperwork Reduction Act
should be exercised?
An agency may not conduct or sponsor an information
Did you submit the beneficiary's photo?
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
Did you provide the beneficiary's address where he
OMB control number. The public reporting burden for this
or she is residing now?
collection of information is estimated at 1 hour 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 Avenue, N.W., Washington, DC 20529-2140.
OMB No. 1615-0106. Do not mail your completed
Form I-929 to this address.
Form I-929 Instructions 04/13/17 Y
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