Application for Advance Permission to Enter as Nonimmigrant (Pursuant to 212(d)(3) of the Immigration and Nationality Act)

OMB No. 1615-0017; Expires 09/30/08

I-192, Application for Advance
Permission to Enter as Nonimmigrant

Department of Homeland Security
U.S. Citizenship and Immigration Services

[Pursuant to Section 212(d)(3) of the INA]

Action by the Department of Homeland Security
Granted, subject to revocation at any time, upon the following terms and
conditions:

DATE OF ACTION
DD OR OIC
OFFICE

Instructions

Please read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paper
and indicate the section and number of the item to which the answer refers.

What Is the Purpose of This Form.
For an alien who is otherwise not permitted to enter the
United States to apply for permission to temporarily enter the
United States.

Where to File.
File this form with the local office with jurisdiction over the
port-of-entry where the non-immigrant will enter the United
States.

What Is the Filing Fee.
The filing fee for a Form is $545.00
Use the following guidelines when you prepare your check or
money order for the Form I-192.
1. The check or money order must be drawn on a bank or
other financial institution located in the United States
and must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:
A. If you live in Guam and are filing your petition
there, make it payable to Treasurer, Guam.
B. If you live in the U.S. Virgin Islands and are filing
your petition there, make it payable to
Commissioner of Finance of the Virgin Islands.
C. If you live outside the United States, Guam, or the
U.S. Virgin Islands, contact the nearest U.S.
consulate or embassy for instructions on the
method of payment.

NOTE: Please spell out U.S. Department of Homeland
Security; do not use the initials "USDHS" or "DHS."
Notice to Those Making Payment by Check. If you send
us a check, it will be converted into an electronic funds
transfer (EFT). This means we will copy your check and use
the account information on it to electronically debit your
account for the amount of the check. The debit from your
account will usually take 24 hours, and will be shown on
your regular account statement.
You will not receive your original check back. We will
destroy your original check, but we will keep a copy of it. If
the EFT cannot be processed for technical reasons, you
authorize us to process the copy in place of your original
check. If the EFT cannot be completed because of
insufficient funds, we may try to make the transfer up to two
times.
How to Check If the Fees Are Correct.
The form and biometric fees on this form are current as of the
edition date appearing in the lower right corner of this page.
However, because USCIS fees change periodically, you can
verify if the fees are correct by following one of the steps
below:
1. Visit our website at www.uscis.gov, select
"Immigration Forms" and check the appropriate fee;
2. Review the Fee Schedule included in your form
package, if you called us to request the form; or
3. Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.

Form I-192 (Rev. 07/30/07)Y Page 2

Address Changes.
If you change your address and you have an application or
petition pending with USCIS, you may change your address
on-line at www.uscis.gov, click on "Change your address with
USCIS" and follow the prompts or by completing and mailing
Form AR-11, Alien's Change of Address Card, to:
U.S. Citizenship and Immigration Services
Change of Address
P.O. Box 7134
London, KY 40742-7134
For commercial overnight or fast freight services only, mail
to:
U.S. Citizenship and Immigration Services
Change of Address
1084-I South Laurel Road
London, KY 40744

Processing Information.
If the application is made because the applicant may be
inadmissible due to present or past membership in or
affiliation with any Communist or other totalitarian party or
organization, there shall be attached to the application a
written statement of the history of the applicant's membership
or affiliation, including the period of such membership or
affiliation, whether the applicant held any
office in the organization, and whether membership or
affiliation was voluntary or involuntary. If involuntary
membership or affiliation is alleged, there shall also be
attached to the application a written statement to support said
allegation.
If the application is made because the applicant may be
inadmissible due to disease, mental or physical defect, or
disability of any kind, the application shall describe the
disease, defect or disability. If the purpose of seeking
admission to the United States is for treatment, there shall be
attached to the application statements in writing to establish:
1. That satisfactory treatment cannot be obtained outside
the United States;
2. That arrangements have been completed for
treatment, and where and from treatment will be
received;
3. What financial arrangements for payment of expenses
incurred in connection with the treatment have been
made; and
4. That a bond will be available if required by the
Secretary of Homeland Security.
If the application is made because the applicant may be
inadmissible due to conviction of crime, the designation of the
crime, date and place of its commission and of conviction

thereof, and sentence or other judgment of the court shall be
stated in the application. In such case the application should be
supplemented by an official record of conviction and any other
documents relating to commutation of sentence, parole,
probation or pardon.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at 1-800870-3676. You can also get USCIS forms and information on
immigration laws, regulations and procedures by telephoning
our National Customer Service Center at 1-800-375-5283 or
visiting our internet website at www.uscis.gov.
As an altenative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our internet-based system, InfoPass. To access the system,
visit our website. Use the InfoPass appointment scheduler and
follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen.

Penalties.
If you knowingly and willfully falsify or conceal a material
fact or submit a false document with this application, we will
deny the benefit you are filing for, and may deny any other
immigration benefit. In addition, you will face severe
penalties provided by law, and may be subject to criminal
prosecution.

Privacy Act Notice.
We ask for the information on this form, and associated
evidence, to determine if you have established eligibility for
the immigration benefit for which you are filing. Our legal
right to ask for this information can be found in the
Immigration and Nationality Act, as amended. We may
provide this information to other government agencies. Failure
to provide this information, and any requested evidence, may
delay a final decision or result in denial of your Form I-192.

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 this
collection of information is estimated at 15 minutes per
response, including the time for reviewing instructions,
completing and submitting the form. 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,
Regulatory Management Division, 111 Massachusetts Avenue,
N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB
No. 1615-0017. Do not mail your application to this
address.
Form I-192 (Rev. 07/30/07)Y Page 3