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I can tell you from recent experience, that USCIS approves your I600A based on the specifics listed in the home study. Any changes that are made such as age of child, gender, a move, etc. requires a new home study (they will not accept ammendments any longer) be submitted to USCIS. They will then have to issue a new 171H approving you again based on those changes.
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Debbie
www.worldofweeks.blogspot.com
Began Guatemala adoption journey 12/15/06
Liliana born 4/30/07
Referral 6/8/07
Home Forever 3/27/08
Began Ethiopia adoption journey 7/22/08
Homestudy interview 11/25/08
USCIS Fingerprints 12/13/08
Home Study sent to USCIS 3/10/09
171H rec'd 5/18/09
Dossier submitted to agency 5/19/09
Dossier arrives in Ethiopia 6/4/09
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