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Other Information.

Reporting Burden.

A person is not required to respond to a collection of

Penalties.

information unless it displays a currently valid OMB control

number. We try to create forms and instructions that are

The Government may pursue verification of any information

accurate, can be easily understood, and which impose the least

provided on or in support of this form. If you include in this

burden on you to provide us with information. Often this is

affidavit of support any information that you know to be false,

difficult because some immigration laws are very complex.

you may be liable for criminal prosecution under the laws of

the United States.

The estimated average time to complete and file this form is

as follows: (1) 15 minutes to learn about the law and form;

Privacy Act Notice.

(2) 15 minutes to complete the form; and (3) 30 minutes to

Authority for the collection of the information requested on

assemble and file the form; for a total estimated average of 1

this form is contained in 8 U.S.C. 1182a(4), 1183a, 1184(a),

hour per form.

and 1258. The information will be used principally by an

immigration judge, USCIS, or a Consular Officer to whom it

If you have comments regarding the accuracy of this estimate

is furnished, to determine an alien's eligibility for benefits

or suggestions for making this form simpler, write to U.S.

under the Immigration and Nationality Act, specifically

Citizenship and Immigration Services, Regulatory

whether he or she has adequate means of financial support and

Management Division, Attn: OMB No. 1615-0075, 111

will not become a public charge. Submission of the

Massachusetts Avenue N.W., Washington, D.C. 20529. Do

information is voluntary. Failure to provide the information

not mail your completed form to this address

will result in denial of the application for an immigrant visa or

adjustment of status.

The information may also, as a matter of routine use, be

disclosed to other Federal, State and local agencies providing

means-tested public benefits for use in civil action against the

sponsor for breach of contract. Social Security numbers may

be verified with the Social Security Administration consistent

with the consent signed as part of the contract in Part 3 of the

Form I-864. They may also be disclosed as a matter of

routine use to other Federal, State, local, and foreign law

enforcement and regulatory agencies to enable these entities to

carry out their law enforcement responsibilities.

USCIS Forms and Information.

To order USCIS forms, call our toll-free forms line at

1-800-870-3676. You can also obtain forms and information

on immigration laws, regulations and procedures by

telephoning our National Customer Service Center at

1-800-375-5283 or visiting our internet website at

Use InfoPass for Appointments.

As an alternative to waiting in line for assistance at your local

USCIS office, you can now schedule an appointment through

our internet-based system, InfoPass. To access the system,

visit our website at Use the InfoPass

appointment scheduler and follow the screen prompts to set up

your appointment. InfoPass generates an electronic

appointment notice that appears on the screen. Print the notice

and take it with you to your appointment. The notice gives the

time and date of your appointment, along with the address of

the USCIS office.

Form I-864W Instructions (Rev. 10/18/07)Y Page 2

Form I-864w - Intending Immigrant'S Affidavit Of Support Exemption And Instrtuctions Page 2

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