Instructions For Form I-601a - Application For Provisional Unlawful Presence Waiver Page 19

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5. Have indicated on the application that DOS initially acted before January 3, 2013, to schedule the immigrant visa
interview or have not selected either box in Part 3., Item Number 5.
If USCIS rejects your Form I-601A, we will return it to you with any fees you submitted with the application. You may
correct the deficiency and resubmit your Form I-601A. An application is not considered properly filed until accepted by
USCIS. If USCIS denies your application after fully adjudicating your Form I-601A, USCIS will not refund the
fees originally submitted with your Form I-601A.
IMPORTANT: You must have a United States address to file this application.
Initial Processing. Once USCIS accepts your application we will check it for completeness. If you do not completely fill
out this application, you will not establish a basis for your eligibility and USCIS may deny your application.
Requests for More Information. We may request that you provide more information or evidence to support your
application. We may also request that you provide the originals of any copies you submit. USCIS will return any
requested originals when they are no longer needed.
Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application.
At the time of any interview or other appearance at a USCIS office, we may require that you provide your fingerprints,
photograph, and/or signature to verify your identity and/or update background and security checks.
Decision. The decision on Form I-601A involves a determination of whether you have established eligibility for the
immigration benefit you are seeking. USCIS will notify you of the decision in writing.
USCIS Forms and Information
To ensure you are using the latest version of this application, visit the USCIS website at
where you
can obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may
order USCIS forms by calling the Forms Request Line at 1-800-870-3676. You may also obtain forms and information
by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call:
1-800-767-1833.
Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at
. Select “Schedule an appointment online” and follow the screen prompts to set up your appointment.
Once you finish scheduling an appointment, the system will generate an appointment notice for you.
Penalties
If you knowingly and willfully falsify or conceal a material fact or submit a false, altered, forged, or counterfeited writing
or document with your Form I-601A, we will deny your Form I-601A and may deny any other immigration benefit. In
addition, you will face severe penalties provided by law and may be subject to criminal prosecution.
USCIS Privacy Act Statement
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA
section 101, INA section 212(a)(9)(B)(i) and (v), and 8 CFR section 212.7(e).
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. 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.
Form I-601A Instructions 12/23/16 N
Page 19 of 21

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