AUTHORITIES: The information requested on this form is collected under the Immigration and Nationality Act, 8 U.S.C. § 1182(d)(5).
PURPOSE: The primary purpose for providing the requested information on this application is to determine your compliance with the conditions of your parole.
DISCLOSURE: The information you provide is required as a condition of your parole. Failure to provide this information may result in termination of your parole.
ROUTINE USES: DHS may, where allowable under relevant confidentiality provisions, share the information and any additional requested evidence you provide on this form 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/ICE/CBP-001 Alien File, Index, and National File Tracking System; DHS/CBP-006 Automated Targeting System] and the published privacy impact assessments [DHS/USCIS/PIA- 061 Benefit Request Intake Process; DHS/CBP/PIA-006 Automated Targeting System (ATS)], which can be found at www.dhs.gov/privacy. DHS may also share this information as appropriate for law enforcement purposes or in the interest of national security.