Registration for Classification as a Refugee

“REQUEST NEW LINK” PAGE:

VERIFICATION PAGE FOR ACCESS TO DASHBOARD:

DASHBOARD:

When a user clicks the link labelled “Instructions and Privacy Act” at the top of any part of the questionnaire in modules
1-11 after the dashboard, this is what appears in a pop-out module:

Instructions
•
•
•
•
•
•
•
•

Enter the requested data for each PA and their immediate family members.
The data requested for each individual is extensive and divided into multiple sections – 11 in total. You must complete
each section fully before moving to the next.
Required fields are marked with an asterisk (*).
Incomplete sections will prevent you from advancing or submitting your questionnaire. The system automatically
checks for missing or invalid data. You’ll be prompted to correct any errors before proceeding.
You may save your progress at any point and return later using the verification code and personal link sent to you by
email.
Your information will remain secure and tied to your verified email address.
Before submitting, you’ll have an opportunity to review all entered data for each family member.
A family group’s USRAP Intake Questionnaire cannot be submitted until all family members in that group have
completed their respective data entry.

Detailed Instructions: Using the Dashboard &
Completing the Intake Questionnaire
Welcome to the U.S. Refugee Admissions Program Intake Questionnaire for South Afircans Dashboard.
This dashboard helps you manage and track the data you enter into the intake questionnaire for one or more family groups.
Please review the steps below to understand how to begin and navigate your data input.

DEFINITIONS: Individuals may be considered for referral into the USRAP either as a principal applicant or as an immediate

family member (spouse or child under 21 years of age) of a principal applicant. A principal applicant and his/her immediate
family members are considered a “family group” on this intake questionnaire.
•

•

•

•

The principal applicant (PA) is the individual who meets all USRAP eligibility criteria for South Africans (listed on
the U.S. Mission to South Africa’s website), including the ability to demonstrate a history of persecution or fear of
persecution due to race, religion, nationality, political opinion, or membership in a particular social group.
A principal applicant’s immediate family members include only his/her legal spouse and unmarried legal children under
the age of 21, including biological children, stepchildren, and legally adopted children. Individuals with these
relationships may access the USRAP as a qualifying family member of the principal applicant, so they are not required to
demonstrate a history of persecution or fear of persecution themselves and do not need to meet all other USRAP
eligibility criteria for South Africans.
A family group for the purposes of this USRAP intake questionnaire consists of the principal applicant and his/her
immediate family members.
o If multiple individuals in a family group with a spousal relationship meet the USRAP eligibility criteria for South
Africans, please select the individual with the strongest and most direct history or fear of persecution to be the
principal applicant.
Family members of a principal applicant who are not their legal spouse or unmarried legal child must not be included in
the principal applicant’s family group. Other adults who may be part of the PA’s household or extended family –
including parents, adult children, other relatives, and unrelated members of the household – who may also want to
request referral into the USRAP must be entered as principal applicants themselves. They must meet the USRAP
eligibility criteria and be able to articulate a past personal experience of persecution or fear of future persecution in order
to qualify for referral into the USRAP as a principal applicant. Each principal applicant may be entered with their own
immediate family members (as defined above) in their own family group.

You do not need to qualify as a principal applicant in order to submit this questionnaire. You may submit on behalf of someone
who does. You may also use this questionnaire to submit information for more than one family group.
1. Add a principal applicant with their family group

Select "Add New Principal Applicant and Family" button to begin creating your first family group record
▪ Note: Select this button even if the principal applicant does not have any immediate family members with
whom they intend to apply
▪ See the definitions above for the information on who is a principal applicant or immediate family member
and who constitutes a family group on this questionnaire.
2. Add new members to the family group
o After entering all the information necessary for the first member of a family group (usually the principal
applicant), you will be returned to the dashboard where you can choose to add a family member to this family
group.
▪ NOTE: You may instead choose to create a new principal applicant and family group record by repeating
step #1 above, then adding a new principal applicant and their immediate family members. But you will not
be able to submit a family group until data entry fields for all members are complete. See end of these
instructions for more information on including multiple family groups on one dashboard.
o First click the "View Family Group" button on the dashboard next to the family group into which you want to add
new members.
o A new table will open on the dashboard below the list of family groups to show the members of the family group
you just selected. Click the "Add Family Member to Family Group" button below that table to add new members.
o All immediate family members the Principal Applicant intends to be part of his/her family group for USRAP
consideration must be added here.
o A family group's USRAP Intake Questionnaire cannot be submitted until all family members in that group have
completed their respective data fields.
3. Complete data entry for every Principal Applicant and Family Member in every Family Group added to the questionnaire
o Enter the requested data for each PA and their immediate family members
o The data requested for each individual is extensive and divided into multiple sections – 11 in total. You must
complete each section fully before moving to the next.
o Required fields are marked with an asterisk (*).
o Incomplete sections will prevent you from advancing or submitting your questionnaire. The system automatically
checks for missing or invalid data. You will be prompted to correct any errors before proceeding.
o

You may save your progress at any point and return later using the verification code and personal link sent to you
by email.
o Your information will remain secure and tied to your verified email address.
o Before submitting, you will have an opportunity to review all entered data for each family member.
o A family group’s USRAP Intake Questionnaire cannot be submitted until all family members in that group have
completed their respective data entry.
4. Submit USRAP Intake Questionnaire for Family Group
o Once all data fields for every member of the family group (the principal applicant and all immediate family
members you entered into the questionnaire) are complete and correct, the “Information for All Individuals in
Family Group Complete - Submit Data” button will become accessible. Click this button to submit the data for the
entire family group together.
o IMPORTANT: Do not click this button to submit a family group’s data if you still intend to add members to that
family group. You may submit the data for one family group while continuing to complete data for a separate
Principal Applicant and his/her family group. But you may not add new members to a family group that has
already been submitted. All immediate family members that would like to resettle with the PA should be entered
through this questionnaire. There will be opportunities to add or remove family members at later USRAP
processing touchpoints, if needed.
o

USRAP Intake Questionnaires for multiple Family Groups may be submitted by one individual and appear in the same
dashboard as long as each family group meets the definitions and criteria above. That allows a single individual to assist extended
family members who may not be able to use this online Questionnaire on their own; and it allows separate Principal
Applicants/Family Groups to be recognized as connected to each other by the USRAP referral and processing partner
organizations. This is useful if a Principal Applicant and his/her immediate family lives or wants to resettle with adult children,
parents, grandparents, siblings, or other non-relative members of their household or community who do not qualify as
“immediate family members.” To include multiple Family Groups on your dashboard, repeat Steps 1-4 above for each new
Family Group (i.e.: Principal Applicant and his/her immediate family). Each PA and family group added to the application will
get its own record and an assigned Family Group record number, which you will see on the dashboard once you begin adding a
new PA and family.

Note that including multiple family groups on one USRAP Intake Questionnaire Dashboard does not guarantee that all family
groups will be deemed qualified for access to the USRAP or that they will be processed or – if approved – resettle together.
Connecting them on a single dashboard simply indicates to USRAP referral and processing partner organizations that you are
interested in resettling together, if possible. More information on the ability to resettle and travel with other family groups also
applying for refugee admission to the U.S. will be provided at a later stage in USRAP processing.

DHS Privacy Notice regarding the form I-590, upon which these sections
of this questionnaire are based:
AUTHORITIES: The information requested on this application, and the associated evidence, is collected pursuant to 8 U.S.C.
1522(b) and 8 U.S.C. 1157.
PURPOSE:
The primary purpose for providing the requested information on this application is to determine eligibility for refugee
classification and resettlement in the United States. 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:
DHS may, where allowable under relevant confidentiality provisions, 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, DHS/USCIS-017 - Refugee Case Processing
and Security Screening Information, DHS/USCIS-018 - Immigration Biometric and Background Check and the STATE-59 Refugee Case Records] and as described in the Privacy Impact Assessments [DHS/USCIS/PIA-068 Refugee Case Processing

and Security Vetting PIA and DOS Refugee Processing Center - General Support System (RPC - GSS)], which can be found
at www.dhs.gov/privacy and www.state.gov. 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 OMB control number. The public reporting burden for Form I-590 is estimated at
3 hours for gathering information; 20 minutes (.33 hours) for submitting biometric information; 1 hour for review the request;
and 2 hours for collecting DNA evidence (if applicable). 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, Camp Springs,
MD 20588-0009; OMB No 1615-0068. Do not mail your completed Form I-590 to this address.

PART 1: Information about PA or Family Member

PART 1 Continued: Information about PA or Family Member - Add Alias section

PART 1 Continued: Information about PA or Family Member

PART 1 Continued: Information about PA or Family Member - Add ID Document

PART 2: Parents

PART 3: Info About Background - Address Information

PART 3 Continued: Info about Background – Education

PART 3 Continued: Info about Background – Employment

PART 4: Military Service

PART 5: Relatives in the United States

PART 6: Marital Status

Part 7: Children

Part 8: Refugee Persecution Claim

Part 9: Additional Information About Request for Refugee Status

Part 10: Contact Information

Part 11: Admissibility