Looking for a Uscis Forms And Templates? Download it for free!

USCIS Privacy Act Statement

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

Immigration and Nationality Act, section 101.

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

established eligibility for the immigration benefit for which you are filing. The Department of Homeland Security (DHS)

will use the information you provide to grant or deny the immigration benefit you are seeking.

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 36 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.

1615-0056. Do not mail your completed Form N-470 to this address.

Form N-470 Instructions 12/23/16 N

Page 9 of 9

Instructions For Form N-470 - Application To Preserve Residence For Naturalization Purposes Page 9