Forms AR-11 and AR-11 SR: USCIS Privacy Act Statement

Authority: USCIS collects this information under Section 265 of the Immigration and Nationality Act (INA), as amended, 8 U.S.C. section 1305.

Purpose: The primary purpose for providing the requested information on this form is to report a change of address within 10 days of the change.

Disclosure: Failure to report a change of address may result in a fine, imprisonment and/or removal. 8 U.S.C. sections 1227(a)(3),1306. Failure to comply may also jeopardize your ability to obtain a future visa or other immigration benefits.

Routine Uses: USCIS may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations in accordance with the approved routine uses described in the associated published system of records notices [DHS-USCIS-007 - Benefits Information System, which can be found at www.dhs.gov/privacy]. The information may also be made available, as appropriate, for law enforcement purposes or in the interest of national security.
 

ADDITIONAL INFORMATION

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