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ROUTINE USES: DHS may share the information you provide on this form with other Federal, state, local, and foreign

government agencies and authorized organizations following approved routine uses described in the associated published

system of records notices [DHS/USCIS-005 - Inter-Country Adoptions Security and DHS/USCIS-001 - Alien File, Index,

and National File Tracking System of Records, which can be found at The information may also

be shared, as appropriate, for law enforcement purposes or in the interest of national security.

NOTICE TO ADULT MEMBERS OF THE HOUSEHOLD: You are not the applicant who is filing Form I-600A.

As an adult member of the applicant's household, however, information about you may be relevant to the adjudication of

the applicant's Form I-600A. Under 8 CFR 103.2(b)(16), the applicant is entitled to review any information that may be

used as evidence supporting a denial of Form I-600A. By signing the Form I-600A/Form I-600, Supplement 1, you are

providing your consent to permit USCIS to disclose to the applicant and adoption service provider, if applicable,

information that USCIS may obtain about you that is relevant to the adjudication of the applicant's Form I-600A, even if

the Privacy Act, 5 U.S.C. 552a, might otherwise prevent disclosure of the information to the applicant.

PRIVACY ACT WAIVER: Except as permitted by the Privacy Act, 5 U.S.C. 552a, applicable routine uses, and

information related to adult members of your household as noted above, USCIS may not disclose or give access to any

information or record relating to any applicant, spouse (if married), or adult member of your household to any individual

or entity other than that person, including but not limited to an accredited agency, approved person, exempted provider,

supervised provider, or other adoption service provider, unless you give written consent, as provided by the Privacy Act.

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 45 minutes per response, including the time for reviewing instructions, gathering the required

documentation and information, completing and submitting the application, preparing statement, 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. 1615-0028. Do not

mail your completed Form I-600A to this address.

Form I-600A Instructions 12/23/16 N

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Instructions For Form I-600a - Application For Advance Processing Of An Orphan Petition Page 14