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Instruksi untuk Formulir I-824, Aplikasi untuk Tindakan atas Aplikasi atau Petisi yang Disetujui

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Instructions for Application for  
Action on an Approved Application or Petition  
USCIS  
Form I-824  
OMB No. 1615-0044  
Expires 12/31/2023  
Department of Homeland Security  
U.S. Citizenship and Immigration Services  
What Is the Purpose of Form I-824?  
Use Form I-824, Application for Action on an Approved Application or Petition, to request further action on a previously  
approved application or petition.  
When Must I Use Form I-824?  
You must use Form I-824 to request U.S. Citizenship and Immigration Services (USCIS) or U.S. Customs and Border  
Protection (CBP) action on a previously approved application or petition.  
NOTE: USCIS or CBP will not approve Form I-824 if your previous approval is expired or was revoked.  
You cannot use Form I-824 to verify the status of a pending application or petition. However, in accordance with 8 CFR  
section 103.9, this application may be filed with the original application or petition.  
For applications previously approved by CBP  
You must use Form I-824 to request that CBP issue a duplicate of your Form I-192, Application for Advance Permission  
to Enter as Non-Immigrant, or Form I-212, Application for Permission to Reapply for Admission into the United States  
After Deportation or Removal, approval notice if the original was lost, stolen, or mutilated.  
You may also obtain a duplicate of an indefinite waiver that was issued prior to April 1, 1998. An indefinite waiver  
may be on Form I-185, Canadian Border Crossing Card (BCC) or on Form I-194 which shows the validity period as  
“indefinite.” You may obtain a duplicate of a previously issued indefinite waiver as long as your waiver was not revoked  
or voided.  
When Should I Not File Form I-824?  
Do not file Form I-824 with USCIS if you are requesting follow-to-join benefits for your spouse and/or children, and you  
are in one of the following classifications:  
1. You were issued an immigrant visa at a U.S. Embassy or U.S. Consulate via consular processing and were admitted to  
the United States as a lawful permanent resident (LPR) on an immigrant visa;  
2. You were granted refugee status after you were admitted to the United States;  
3. You were granted status in the United States as an asylee; or  
4. You have gained your LPR status through a T or U visa.  
Do not file Form I-824 with USCIS, if you are requesting:  
1. Further action on an application or petition that was denied, revoked, terminated or withdrawn;  
2. A correction of an error on your previously approved application or petition;  
3. A copy of the approved Form I-485, Application to Register Permanent Residence or Adjust Status, or Form N-400,  
Application for Naturalization, for your personal records;  
4. A duplicate approval notice of an approved immigrant visa petition naming the spouse or children who are  
accompanying or following to join you;  
Form I-824 Instructions 12/02/21  
Page 1 of 10  
5. USCIS to send information to the U.S. Department of State (DOS) regarding the approval of your expired  
nonimmigrant application or petition;  
6. USCIS to send information to DOS regarding an employment-based application or petition if your employment for  
the original petitioner has ended;  
7. USCIS to notify DOS of the approval of Form I-600A, Application for Advanced Processing of Orphan Petition,  
and/or Form I-600, Petition to Classify Orphan as an Immediate Relative, as well as the approval of Form I-800A,  
Application for Determination of Suitability to Adopt a Child from a Convention Country;  
8. An action on an approved application that was filed with CBP; or  
9. A replacement of the following documents: Employment Authorization Document (EAD), Form I-94 Arrival-  
Departure Record, Form I-551, Permanent Resident Card, or Form I-512/I-512L, travel document.  
To request replacement of:  
A. An EAD, you must file Form I-765, Application for Employment Authorization;  
B. Form I-94 Arrival-Departure Record, you must file Form I-102, Application for Replacement/Initial  
Nonimmigrant Arrival-Departure Document;  
C. Form I-551, Permanent Resident Card, you must file Form I-90, Application to Replace Permanent Resident Card;  
D. Form I-512 or I-512L, travel document, you must file Form I-131, Application for Travel Document.  
These forms can be found on the USCIS website at www.uscis.gov. Select the “FORMS” tab.  
Do not file Form I-824 with CBP if you are requesting:  
1. A duplicate approval notice that is expired or was revoked;  
2. A correction of an error on your approval notice (visit www.cbp.gov for instructions on how to request a correction to  
your approval notice); or  
3. Action on an approved application or petition that was filed with USCIS.  
General Instructions  
USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should  
use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not  
have Internet access, you may call the USCIS Contact Center at 1-800-375-5283 and ask that we mail a form to you. For  
TTY (deaf or hard of hearing) call: 1-800-767-1833.  
Signature. Each application must be properly signed and filed. For all signatures on this application, USCIS will not  
accept a stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal  
guardian may sign the application on your behalf. A legal guardian may also sign for a mentally incompetent person.  
Filing Fee. Each application must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section  
of these Instructions.)  
For individuals filing this application with CBP: Please refer to CBP’s website at www.cbp.gov (go to the search box  
and type “Form I-824,” “I-824,” or “824”) for further instructions.  
Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Specific  
Instructions and/or What Evidence Must You Submit sections of these Instructions.  
Form I-824 Instructions 12/02/21  
Page 2 of 10  
Biometric Services Appointment. USCIS may require that you appear for an interview or provide fingerprints,  
photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background  
and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation  
(FBI), before making a decision on your application, petition, or request. After USCIS receives your application and  
ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an  
appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support  
Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S.  
Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment.  
If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:  
1. You provided or authorized all information in the application;  
2. You reviewed and understood all of the information contained in, and submitted with, your application; and  
3. All of this information was complete, true, and correct at the time of filing.  
If you fail to attend your biometric services appointment, USCIS may deny your application.  
Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you  
must submit an original document. USCIS may request an original document at the time of filing or at any time during  
processing of an application, petition, or request. If USCIS requests an original document from you, it will be returned to  
you after USCIS determines it no longer needs your original.  
NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be  
immediately destroyed upon receipt.  
Translations. If you submit a document with information in a foreign language, you must also submit a full English  
translation. The translator must sign a certification that the English language translation is complete and accurate, and that  
he or she is competent to translate from the foreign language into English. The certification must include the translator’s  
signature. DHS recommends the certification contain the translator’s printed name and the date and the translator’s  
contact information.  
NOTE: You may file this application at any time while the previously approved application or petition is valid or  
pending.  
NOTE: A separate Form I-824 must be filed for each action being requested.  
How To Fill Out Form I-824  
1. Type or print legibly in black ink.  
2. If you need extra space to complete any item within this application, use the space provided in Part 7. Additional  
Information or attach a separate sheet of paper; type or print your name and Alien Registration Number (A-Number)  
(if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer  
refers; and sign and date each sheet.  
3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been  
married and the question asks “Provide the name of your current spouse”), type or print “N/A,” unless otherwise  
directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many  
children do you have” or “How many times have you departed the United States”), type or print “None,” unless  
otherwise directed.  
Form I-824 Instructions 12/02/21  
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Specific Instructions  
This application is divided into Parts 1. - 7. The following information will help you fill out the application.  
If you are the applicant or the petitioner of the previously approved application or petition, and you are now requesting  
action in Part 2., Item Number 1.a. or Item Number 1.b. of this application, you must complete and sign this  
application.  
If you are the principal applicant who filed Form I-485 and you are now requesting action in Part 2., Item Number 1.c.  
of this application, you must complete and sign this application.  
Only the petitioner of the previously approved immigrant visa petition may file Form I-824, if action in Part 2., Item  
Number 1.d. or Item Number 1.e. is requested. You must provide the A-Number (in Part 1., Item Number 6. of the  
application) or the Receipt Number of the previously approved petition (in Part 3., Item Number 1.b. of this application),  
and complete and sign this application.  
Part 1. Information About You (Person filing this Application)  
Item Number 1. If you are the applicant or petitioner of the previously approved application or petition, select the  
appropriate box, and provide all the requested information.  
NOTE: If the petitioner is a company or organization, provide the entity’s information in Part 1. of the application, if  
applicable.  
Item Numbers 2.a. - 2.c. Your Full Legal Name. Provide your full legal family name (last name), given name (first  
name), and middle name. If you have two last names, include both names. If a company or organization is the petitioner  
on the previously approved petition, leave these spaces blank.  
Item Number 3. Company or Organization Name (if any). If the petitioner on the previously approved petition is a  
company or organization, provide the entity’s complete name.  
Item Number 4. Current/Recent Immigration Status. Provide your current or most recent immigration status. If you  
are a U.S. citizen, type or print “N/A.”  
Item Number 5. Certificate of Naturalization or Citizenship Number (if any). If you are a naturalized U. S. citizen  
and select Part 2., Item Number 1.a., Item Number 1.b., Item Number 1.d., or Item Number 1.e., provide your  
Certificate of Naturalization or Citizenship Number.  
Item Number 6. Alien Registration Number (A-Number) (if any). This is your Alien Registration Number  
(immigration file number). If you do not have an A-Number or do not know it, leave this space blank.  
Item Number 7. Date of Birth. Provide your date of birth in mm/dd/yyyy format (for example, May 1, 1979, should be  
typed or printed as 05/01/1979).  
Item Number 8. Country of Birth. Provide the name of the country where you were born.  
Item Number 9. Country of Citizenship or Nationality. Provide the country of citizenship or nationality of the  
principal applicant or petitioner.  
Item Number 10. IRS Tax Number (if any). If you are filing this application on behalf of a business or organization,  
provide the Internal Revenue Service (IRS) Tax Number of the business or organization.  
Item Number 11. U. S. Social Security Number. If you are filing as an individual, provide your U.S. Social Security  
Number in the spaces provided. If you do not have a U.S. Social Security Number, leave the spaces blank.  
Form I-824 Instructions 12/02/21  
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Item Number 12. USCIS Online Account Number (if any). If you have previously filed an application, petition, or  
request using the USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)),  
provide the USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account  
Number by logging in to your account and going to the profile page. If you previously filed certain applications, petitions,  
or requests on a paper form via a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice  
issuing you a USCIS Online Account Number. If you received such a notice, your USCIS Online Account Number can be  
found at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the space provided. The  
USCIS Online Account Number is not the same as an A-Number.  
Item Numbers 13.a. - 13.i. Mailing Address. Provide your mailing address, if different from your physical address.  
Item Numbers 14.a. - 14.h. Physical Address. Provide your physical street address. This must include a street number  
and name or a rural route number. Do not provide a post office box (PO Box).  
Part 2. Reason for Request  
For individuals filing this application with CBP: Select Item Number 1.a. to request a duplicate of your Form I-192,  
Application for Advance Permission to Enter as Nonimmigrant, approval notice or your Form I-212, Application for  
Permission to Reapply for Admission into the United States After Deportation or Removal, approval notice if the original  
notice was lost, stolen, or mutilated, or a duplicate of an indefinite waiver was previously issued in conjunction with Form  
I-185, Nonresident Alien Canadian Border Crossing Card (BCC).  
NOTE: If your Form I-192 approval notice expires in less than six months, please consider submitting a new Form I-192.  
For individuals filing this application with USCIS. The reasons for requesting further action are listed below. Select  
the box that applies to your particular request (Select only one box).  
1. If you are requesting a duplicate approval notice of the application or petition, select Item Number 1.a.  
NOTE: The duplicate approval notice contains only the information regarding the approval as listed on the original  
Form I-797, Notice of Action. The duplicate approval notice does not include a copy of the previously approved  
application or petition; it only includes Form I-797.  
NOTE: A replacement Employment Authorization Document (EAD) card, Permanent Resident Card, travel  
document or any other USCIS authorization document will not accompany the duplicate approval notice.  
2. If you are requesting USCIS to notify a new U.S. Consulate (different from that originally requested) through the U.S.  
Department of State’s National Visa Center (NVC) or Kentucky Consular Center (KCC) concerning the approval of a  
nonimmigrant visa petition or to notify a new Port-of-Entry (different from that originally requested) concerning the  
approval of a waiver application, select Item Number 1.b. If approved, USCIS will send information regarding the  
approval of your nonimmigrant visa petition to a new U.S. Consulate through the NVC or the KCC, or the approval of  
your waiver application to a new Port-of-Entry different from that originally requested.  
3. If you are requesting USCIS to notify a U.S. Consulate through the NVC that your status was adjusted to that of a  
lawful permanent resident based on an approved Form I-485, select Item Number 1.c. This will permit your spouse  
and/or children to apply for an immigrant visa and follow-to-join you in the United States.  
This notification is available if:  
A. An Immigration Judge or USCIS approved your lawful permanent resident status; and  
B. You wish to have your spouse or children follow-to-join you in the U.S. based on a previously approved Form  
I-485 that was based upon:  
(1) A family preference visa petition (Form I-130);  
(2) An employment-based visa petition (Form I-140);  
Form I-824 Instructions 12/02/21  
Page 5 of 10  
(3) A religious worker or VAWA (Form I-360) petition; or  
(4) A diversity case number.  
This notification is not available if:  
A. You were issued an immigrant visa at a U.S. Embassy or U.S. Consulate and were admitted to the United States  
as a lawful permanent resident. You may contact the NVC for information on how to request follow-to-join  
benefits for your dependents. You may direct your inquiry to our Public Inquiry Form  
(http://travel.state.gov/content/visas/english/contact/ask-nvc.html) or by writing to the National Visa Center, at:  
National Visa Center  
ATTN: WC  
32 Rochester Avenue  
Portsmouth, NH 03801-2909  
B. You were admitted to the United States as a refugee or were granted status in the United States as an asylee.  
Please refer to Form I-730, Refugee/Asylee Relative Petitions, for specific information on follow-to-join benefits  
for your spouse or unmarried children under 21 years of age.  
NOTE: The approval of Form I-824 does not guarantee a visa will be granted by the U.S. Consulate overseas.  
4. If you are requesting USCIS to send your approved immigrant visa petition to the NVC, select Item Number 1.d.  
NOTE: If the beneficiary has already gained lawful permanent resident status through the approval of Form I-485,  
this option is no longer available.  
5. If you are requesting USCIS to notify DOS that you have become a U.S. citizen through naturalization, select Item  
Number 1.e.  
NOTE: If you want to notify DOS that you have become a U.S. citizen through naturalization, you may do so by  
attaching your naturalization certificate to the Public Inquiry Form, http://travel.state.gov/content/visas/english/  
contact/ask-nvc.html, or sending your request along with a copy of your naturalization certificate directly to the  
National Visa Center at:  
National Visa Center  
ATTN: WC  
31 Rochester Avenue  
Portsmouth, NH 03801  
Part 3. Other Information  
Provide the information about the previously approved application or petition in Item Numbers 1.a. - 1.d.  
If you select Part 2., Item Number 1.a., Item Number 1.b., Item Number 1.d., or Item Number 1.e., provide the  
information in Part 3., Item Numbers 2.a. - 4.i., if applicable.  
If you select Part 2., Item Number 1.c., provide the requested information in Part 3., Item Numbers 5.a. - 34., for each  
family member for whom you are requesting follow-to-join benefits.  
Part 4. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature  
Item Numbers 1.a. - 6.b. Select the appropriate box to indicate whether you read this application yourself or whether  
you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you  
used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile  
telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or  
parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.  
Form I-824 Instructions 12/02/21  
Page 6 of 10  
Part 5. Interpreter’s Contact Information, Certification, and Signature  
Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to  
you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and  
address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone  
number (if any), and his or her email address (if any). The interpreter must sign and date the application.  
Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than  
the Applicant  
Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other  
than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete  
both Part 5. and Part 6. If the person who completed this application is associated with a business or organization,  
that person should complete the business or organization name and address information. Anyone who helped you  
complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature  
is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he  
or she may be obliged to also submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited  
Representative, or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines  
of the United States, along with your application.  
Part 7. Additional Information  
Item Numbers 1.a - 7.d. If you need extra space to provide any additional information within this application, use the  
space provided in Part 7. Additional Information. If you need more space than what is provided in Part 7., you may  
make copies of Part 7. to complete and file with your application, or attach a separate sheet of paper. Type or print your  
name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to  
which your answer refers; and sign and date each sheet.  
We recommend that you print or save a copy of your completed application to review in the future  
and for your records.  
What Evidence Must You Submit?  
You must submit all evidence requested in these Instructions with your application. If you fail to submit required  
evidence, USCIS may reject or deny your application for failure to submit requested evidence or supporting documents in  
accordance with 8 CFR 103.2(b)(1) and these Instructions.  
Attach copies, showing the front and back of the following documents, if applicable:  
1. If you select Part 2., Item Numbers 1.a., 1.b., 1.c., or 1.d., provide a copy of Form I-797 for the previously approved  
application or petition; or  
2. If you select Part 2., Item Number 1.e., provide a copy of Form N-550, Certificate of Naturalization.  
What Is the Filing Fee?  
The filing fee for Form I-824 is $465.  
NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL  
CASH. You must submit all fees in the exact amounts.  
Form I-824 Instructions 12/02/21  
Page 7 of 10  
Use the following guidelines when you prepare your check or money order for the Form I-824 filing fee:  
1. The check or money order must be drawn on a bank or other financial institution located in the United States and must  
be payable in U.S. currency; and  
2. Make the check or money order payable to U.S. Department of Homeland Security.  
NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”  
3. When applying with CBP, you must make your check or money order payable to U.S. Customs and Border Protection.  
The check or money order must be drawn on a bank or other financial institution located in the United States and must  
be payable in U.S. currency. Certain CBP-designated Ports-of-Entry may accept payment in the form of cash or credit  
cards.  
4. If you live outside the United States, contact the nearest U.S. Embassy or U.S. Consulate for instructions on the  
method of payment.  
We recommend that you contact the CBP-designated Port-of-Entry where you intend to be processed for  
payment instructions. Please visit www.cbp.gov (go to the search box and type “Form I-824,” or “I-824” or “824”).  
Notice to Those Making Payment by Check. If you send us a check, USCIS will convert it into an electronic funds  
transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your  
account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it  
on your regular account statement.  
You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS  
cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your  
check is returned as unpayable, USCIS will re-submit the payment to the financial institution one time. If the check is  
returned as unpayable a second time, we will reject your application and charge you a returned check fee.  
How To Check If the Fees Are Correct  
Form I-824’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS fees  
change periodically, you can verify that the fees are correct by following one of the steps below.  
1. Visit the USCIS website at www.uscis.gov, select “FORMS,” and check the appropriate fee; or  
2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or  
hard of hearing) call: 1-800-767-1833.  
Where To File?  
For applicants filing with USCIS:  
Please see our website at www.uscis.gov/I-824 or call our USCIS Contact Center at 1-800-375-5283 for the most current  
information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.  
For applicants filing with CBP:  
Please file this application request at the CBP-designated Port-of-Entry listed on www.cbp.gov or mail to U.S. Customs  
and Border Protection, Admissibility Review Office at the address specified on www.cbp.gov.  
Form I-824 Instructions 12/02/21  
Page 8 of 10  
Address Change  
If you filed this application with USCIS:  
An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from his  
or her previous residence. For information on filing a change of address go to the USCIS website at www.uscis.gov/  
addresschange or contact the USCIS Contact Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-  
767-1833.  
NOTE: Do not submit a change of address request to USCIS Lockbox facilities because the Lockbox does not process  
change of address requests.  
If your application is pending with CBP:  
You may change your address by writing via regular mail or via email to the Admissibility Review Office/U.S. Customs  
and Border Protection.  
Mailing address: Please refer to www.cbp.gov for the most updated mailing address of the Admissibility Review Office.  
Email address: aroinquirywaiver@cbp.dhs.gov.  
Do not send a Change of Address Request to USCIS or a USCIS Lockbox facility.  
Processing Information  
Initial Processing. Once USCIS accepts your application we will check it for completeness. If you do not completely fill  
out this application, you will not establish a basis for your eligibility and USCIS may reject or deny your application.  
Requests for More Information. We may request that you provide more information or evidence to support your  
application. We may also request that you provide the originals of any copies you submit. If USCIS requests an original  
document from you, it will be returned to you after USCIS determines it no longer needs your original.  
Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application.  
At the time of any interview or other appearance at a USCIS office, we may require that you provide your fingerprints,  
photograph, and/or signature to verify your identity and/or update background and security checks.  
Decision. The decision on Form I-824 involves a determination of whether you have established eligibility for the  
immigration benefit you are seeking. USCIS will notify you of the decision in writing.  
USCIS Forms and Information  
To ensure you are using the latest version of this application, visit the USCIS website at www.uscis.gov where you can  
obtain the latest USCIS forms and immigration-related information. If you do not have internet access, you may order  
USCIS forms by calling the USCIS Contact Center at 1-800-375-5283. The USCIS Contact Center provides information  
in English and Spanish. For TTY (deaf or hard of hearing) call: 1-800-767-1833.  
Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at  
www.uscis.gov. Select “Schedule an Appointment” and follow the screen prompts to set up your appointment. Once you  
finish scheduling an appointment, the system will generate an appointment notice for you.  
Form I-824 Instructions 12/02/21  
Page 9 of 10  
Penalties  
If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-824, we will  
deny your Form I-824 and may deny any other immigration benefit. In addition, you will face severe penalties provided  
by law and may be subject to criminal prosecution.  
DHS Privacy Notice  
AUTHORITIES: The information requested on this application, and the associated evidence, is collected under  
8 CFR 103.5b.  
PURPOSE: The primary purpose for providing the requested information on this application is to request further action  
on a previously approved application or petition. DHS uses 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,  
including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in  
the denial of your application..  
ROUTINE USES: The Department of Homeland Security (DHS) may share the information you provide on this  
application, and any additional requested evidence, 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/ICE/CBP-001 Alien File, Index, and National File Tracking System of Records, DHS/  
USCIS-007 Benefits Information System, DHS/USCIS-018 Immigration Biometric and Background Check, DHS/CBP-  
006 Automated Targeting System, and DHS/CBP-011 U.S. Customs and Border Protection TECS] and the published  
privacy impact assessments [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System  
and Associated Systems, DHS/CBP/PIA-009 TECS System: CBP Primary and Secondary Processing, and DHS/CBP/  
PIA-006(b) Automated Targeting System], 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.  
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 25 minutes per response, including the time for  
reviewing instructions, gathering the required documentation and information, completing the application, preparing  
statements, attaching necessary documentation, and submitting the application. 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, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital  
Gateway Drive, Mail Stop #2140; OMB No. 1615-0044. Do not mail your completed Form I-824 to this address.  
Form I-824 Instructions 12/02/21  
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