Authority: The information is sought pursuant to Sections 207 and 412 of the Immigration and Nationality Act, 8 U.S.C. §§ 1157, 1522; Section 2 of the Migration and Refugee Assistance Act of 1962, as amended, 22 U.S.C. § 2601; and Executive Order 14013, Rebuilding and Enhancing Programs to Resettle Refugees and Planning for the Impact of Climate Change on Migration.

Purpose: The information solicited on this application will be used to (1) determine the sponsor groups eligibility to participate in the Welcome Corps, (2) evaluate the extent to which a sponsor group is able to fulfil the required sponsorship responsibilities in the initial resettlement period, and (3) refer refugee applicants to the U.S. Refugee Admissions Program (USRAP) for consideration and facilitate further refugee case processing. In the event that an application or refugee referral is not approved, the information will be maintained in a database of previous sponsor applications and refugee referrals.

Routine Uses: The information on this application may be disclosed as follows:

  1. To grantees affiliated with the USRAP, the U.S. Department of Homeland Security (DHS), and other U.S. government agencies to determine if the applicant, their family members and/or individuals linked to their case will be admitted to the United States as refugees and, if admitted, to facilitate their resettlement.  Information may also be used by U.S. government agencies for security vetting, research, reporting and other statistical purposes.
  2. To the International Organization for Migration (IOM) to perform required medical examinations and arrange appropriate transportation to the United States, including departure and transit formalities.
  3. To the United Nations High Commissioner for Refugees to coordinate resettlement and protection activities.  
  4. To the American Association of Tissue Banks for the purposes of DNA testing in certain cases.
  5. To Members of the U.S. Congress and their staff when the disclosure is for the benefit of the USRAP applicant or the mission of the USRAP. 
  6. To resettlement partners and private sponsors (including members of private sponsor groups and points of contact at private sponsor organizations) being managed by resettlement partners to ensure appropriate placement of refugees in the United States.
  7. To state refugee coordinators and health officials for coordination on tracking placement of refugees as necessary, as well as statistical and demographic purposes.
  8. To consumer reporting agencies, debt collection contractors, and the Department of the Treasury to assist in the collection of indebtedness reassigned to the U.S. Government under the refugee travel loan program administered by IOM.
  9. In certain limited circumstances, to other government agencies (federal, state and/or local), when there has been a demonstrated need by the agency for the information, such as for purposes of investigation or legal action in civil (e.g., child protection, child custody), criminal, or national security matters, for the purpose of establishing identity, for research relating to refugee integration, for planning for and/or provision of benefits, or in connection with issues arising from the adjudication of benefits.  
  10. To appropriate agencies, entities, and persons when (1) the Department of State suspects or has confirmed that there has been a breach of the system of records; (2) the Department of State has determined that as a result of the suspected or confirmed breach there is a risk of harm to individuals, the Department of State (including its information systems, programs, and operations), the Federal Government, or national security; and (3) the disclosure made to such agencies, entities, and persons is reasonably necessary to assist in connection with the Department of State efforts to respond to the suspected or confirmed breach or to prevent, minimize, or remedy such harm.
  11. To another Federal agency or Federal entity, including law enforcement agencies where appropriate, when the Department of State determines that information from this system of records is reasonably necessary to assist the recipient agency or entity in (1) responding to a suspected or confirmed breach or (2) preventing, minimizing, or remedying the risk of harm to individuals, the recipient agency or entity (including its information systems, programs, and operations), the Federal Government, or national security, resulting from a suspected or confirmed breach.
  12. To the refugee applicant, designated family members, or the applicant’s legal representative or other designated representative inquiring as to the status of a particular case (limited unclassified information may be released when appropriate).  
  13. To foreign governments or international organizations that have formal written arrangements with the United States on information sharing related to the U.S. Refugee Admissions Program, with the exception of sharing information with foreign governments without an arrangement in order to directly facilitate resettlement in the United States (such as obtaining an exit permit).

More information on the Routine Uses for the system can be found in the System of Records Notice State-59, Refugee Case Records and the U.S. Department of State’s Prefatory Statement of Routine Uses available at

Disclosure: Submitting the information requested in this application is voluntary.  Failure to provide the information requested on this application may result in the applicant’s inability