Ins Toc

TABLE OF CHANGES –INSTRUCTIONS

Form I-694, Notice of Appeal of Decision Under INA Section 210 or 245A of the Immigration and Nationality Act

OMB Number: 1615-0034

05/16/2018

Reason for Revision: Revision with removal of SSN collection on Form, update to Privacy Notice on Instructions.

Current Page Number and Section	Current Text	Proposed Text
Page 5, USCIS Privacy Act Statement	[Page 5] USCIS Privacy Act Statement AUTHORITIES: The information requested on this form, and the associated evidence, is collected under the Immigration and Nationality Act, section 101. PURPOSE: The primary purpose for providing the requested information on this form 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 the requested benefit. ROUTINE USES: DHS may share the information you provide on this form 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 System of Records] which you can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law enforcement purposes or in the interest of national security.	[Page 5] DHS Privacy Notice AUTHORITIES: The information on this appeal form, and associated evidence, is requested under Immigration and Nationality Act (INA) sections 210 and 245A. PURPOSE: The primary purpose for providing information on this appeal form is to notify DHS you are appealing your denied permanent residence, temporary residence, or a waiver of grounds of inadmissibility under the amnesty program provisions of the Immigration Reform and Control Act of 1986. DHS uses the information requested on this form to adjudicate the appeal 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 on your appeal, or result in denial of your appeal. ROUTINE USES: The information provided in this form is confidential and may only be used as provided in INA sections 210(b)(6) and 245A(c)(5). DHS may, where allowable under relevant confidentiality provisions, disclose the information you provide on this appeal and any additional requested evidence with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses, as described in the associated published system of records notices [DHS-USCIS-001 - Alien File, Index, and National File Tracking System and DHS-USCIS-007 - Benefits Information System] and the published privacy impact assessment [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems], which can be found at www.dhs.gov/privacy.

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