Instructions For Application To Register Permanent Residence Or Adjust Status (Form I-485) (Page 19 of 42) in pdf

Subject to the restrictions under 8 CFR 103.2(b)(16), USCIS will provide you with an opportunity to address any

adverse or derogatory information that may result from a USCIS compliance review, verification, or site visit after a

formal decision is made on your case or after the agency has initiated an adverse action which may result in rescission or

termination of lawful permanent resident status.

USCIS Privacy Act Statement

AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA

sections 101 et seq., as amended, and related public laws and regulations.

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

established eligibility to adjust status to that of a permanent resident of the United States or register permanent residence.

DHS will use the information you provide to grant or deny your application to adjust status to lawful permanent resident.

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 6 hours 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.

1615-0023. Do not mail your completed Form I-485 to this address.

Checklist

I have signed Form I-485 in Part 10., Item Number 6.a.

I have included the appropriate filing fee and biometric services fee (if applicable), if not exempted or waived.

I have read these Instructions and the following Additional Instructions (if any) relating to my specific immigrant

category.

I have included all of the required documentation listed in these Instructions and in the following Additional

Instructions (if any) relating to my specific immigrant category.

Form I-485 Instructions 06/26/17 N

Page 19 of 42

Instructions For Application To Register Permanent Residence Or Adjust Status (Form I-485) Page 19