Instructions For Supplement A To Form I-485, Adjustment Of Status Under Section 245(I) (Page 11 of 11) in pdf

Instructions For Supplement A To Form I-485, Adjustment Of Status Under Section 245(I) Page 11

ROUTINE USES: DHS may share the information you provide on this supplement 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 Systems 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 1 hour and 15 minutes per response, in addition to the

burden for completing Form I-485, including the time for reviewing instructions, gathering the required documentation

and information, completing the supplement, attaching necessary documentation, and submitting the supplement. 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 Supplement A to this address.

Checklist

I am filing my Form I-485 with this Supplement A, or I previously filed my Form I-485 and it remains pending. (If I

filed previously, I am attaching a copy of my Form I-797 receipt for that filing.)

I signed Supplement A in Part 4. Applicant’s Statement, Contact Information, Declaration, Certification, and

Signature.

I included the appropriate $1,000 filing fee for Supplement A, unless exempt.

I included all required supporting documentation listed in the What Evidence Must You Submit to Establish Your

Eligibility for Adjustment of Status under INA Section 245(i) section of these Instructions.

Form I-485 Supplement A Instructions 12/13/17 N

Page 11 of 11

Instructions For Supplement A To Form I-485, Adjustment Of Status Under Section 245(I) Page 11