Form I-865 - Sponsor'S Notice Of Change Of Address Page 3

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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 15 minutes per response, including
the time for reviewing instructions and completing and
submitting the form. 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 Products
Division, Executive Secretariat, 20 Massachusetts Avenue,
N.W., Washington, DC 20529-2210. OMB No. 1615-0076. Do
not mail your application to this address.
Instructions I-865 (Rev. 10/26/10) Y Page 3

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