You are about to access a Department of Homeland Security computer system. This computer system and data therein are property of the U.S. Government and provided for official U.S. Government information and use. There is no expectation of privacy when you use this computer system. The use of a password or any other security measure does not establish an expectation of privacy. By using this system, you consent to the terms set forth in this notice. You may not process classified national security information on this computer system. Access to this system is restricted to authorized users only. Unauthorized access, use, or modification of this system or of data contained herein, or in transit to/from this system, may constitute a violation of section 1030 of title 18 of the U.S. Code and other criminal laws. Anyone who accesses a Federal computer system without authorization or exceeds access authority, or obtains, alters, damages, destroys, or discloses information, or prevents authorized use of information on the computer system, may be subject to penalties, fines or imprisonment. This computer system and any related equipment is subject to monitoring for administrative oversight, law enforcement, criminal investigative purposes, inquiries into alleged wrongdoing or misuse, and to ensure proper performance of applicable security features and procedures. DHS may conduct monitoring activities without further notice.Return to Top
The information requested on this form is collected under the Immigration and Nationality Act of 1952 (P.L. 82–414), as amended; the Homeland Security Act of 2002 (P.L. 107–296); Title 8 of the Code of Federal Regulations (CFR); 5 U.S.C. § 552, 5 U.S.C. § 552a, and 6 CFR Part 5.
The primary purpose of providing the requested information on this form is to create or update your USCIS Online Account. Once you create a USCIS Online Account and submit an application or petition, DHS uses the information you provide to: (1) determine eligibility for a requested benefit which includes required national security and law enforcement checks; or (2) determine eligibility to act as an attorney or accredited representative before USCIS on behalf of individuals filing immigration benefits with USCIS; and/or (3) associate yourself with a particular application or petition or applicant or petitioner. A USCIS Online Account also allows you to receive your responsive records to a Freedom of Information Act/Privacy Act (FOIA/PA) request electronically.
The information you provide is voluntary. However, failure to provide information may prevent you from creating a USCIS Online Account ultimately limiting your ability to electronically file your application or petition or to electronically receive your responsive FOIA/PA records.
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/ALL-001 FOIA and PA Record System and DHS/ALL-037 E-Authentication Records System of Records] and published privacy impact assessment [DHS/ALL/PIA-028, DHS FOIA and Privacy Act Records Program, DHS/USCIS/PIA-038, FOIA/PA Information Processing System (FIPS), and DHS/USCIS/PIA-071 myUSCIS Account Experience], which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.Return to Top
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 information collection is estimated at .167 hour per response. This time burden estimation includes the time for gathering the required documentation and information, reviewing the instructions, and completing and submitting the request. Send comments regarding the burden estimate or any other aspect of this information collection, including suggestions for reducing this burden to:
U.S. Citizenship and Immigration Services
Regulatory Coordination Division, Office of Policy and Strategy
20 Massachusetts Ave. N.W.
Washington, D.C 20529-2140
OMB Control No. 1615-0122.
Expiration Date: 8/31/2018
Do not mail your completed request to this address.