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

OMB No. 1615-0017; Expires 01/31/12

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

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

DRAFT

[Pursuant to Section 212(d)(3)(A)(ii) 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
Read these instructions carefully to properly complete this form. If you need more space to complete an answer, use a
separate sheet of paper. Write your name and Alien Registration Number (A-Number), 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?

Where to File?

This form allows inadmissible nonimmigrant aliens to apply
for advance permission to temporarily enter the United States.

A. Inadmissible Nonimmigrant Already in Possession of
Appropriate Documents

Grounds of inadmissibility can be found in the Immigration
and Nationality Act (INA) section 212(a). The statutory and
regulatory basis for this form can be found in INA section
212(d)(3)(A)(ii) and Title 8 Code of Federal Regulations
(CFR), part 212.4(b); and INA section 212(d)(13) and (14);
8 CFR 212.16 and 17, and 8 CFR 214.11 and 214.14 for T and
U visa applicants.

1. File the application with U.S. Customs and Border
Protection (CBP) in advance of the date of intended travel to
the United States. Filing of this application is generally done
in person at a CBP-designated port of entry or a CBPdesignated preclearance office. There are exceptions to inperson filing. We recommend that you contact the CBP
preclearance office or the CBP port of entry where you intend
to be processed before submitting your application. To find a
CBP-designated port of entry or a CBP-designated
preclearance office and to obtain information on required
documentation and processing procedures, visit the CBP Web
site at www.cbp.gov (go to the search box and type "Form
I-192," "I-192," "192," or "waiver").

Who Should File This Form?
Form I-192 should be filed if you are an inadmissible alien in
one of the following categories:
A. Inadmissible nonimmigrant already in possession
of appropriate documents;
B. Applicant for T nonimmigrant status; or
C. Applicant for U nonimmigrant status.
Note: If you are seeking admission under the Visa
Waiver Program (VWP) under INA section 217, you
should NOT file this form. Aliens from VWP countries
who are inadmissible must apply for a nonimmigrant
visa at a U.S. Embassy or consulate for authorization to
travel. You should contact the appropriate U.S. Embassy
or consulate if you have any questions regarding your
admissibility under VWP.
Note: Do not file this form if you are a T visa applicant
who is inadmissible under INA section 212(a)(4)(Public
charge) because you are exempt from this ground of
inadmissibility.

2. You will be required to submit fingerprints. If you are
filing in person, you will be fingerprinted when you submit
your application. If you apply where there is an exception to
the in-person filing requirement, you will be notified
regarding arrangements for your fingerprinting. Generally,
there is no additional charge.
3. Special Instructions for Citizens of Palau, the Federated
States of Micronesia, or the Marshall Islands: You may
contact the nearest consulate of the U.S. Department of State
to receive instructions on where and how to submit this form.
You may also receive filing instructions by e-mailing the
CBP/Admissibility Review Office (ARO) at
[email protected]. Attorneys should address their
inquiries to: [email protected].

Form I-192 (Rev. 08/20/10)Y

B. Applicant for T Nonimmigrant Status
If you are an applicant for T nonimmigrant status but you are
inadmissible, you must file Form I-192 with U.S. Citizenship
and Immigration Services (USCIS) at the Vermont Service
Center. The address is:
USCIS-Vermont Service Center
75 Lower Welden Street
St. Albans, VT 05479-0001
C. Applicant for U Nonimmigrant Status
If you are an applicant for U nonimmigrant status, regardless
of whether you are currently present in or outside the United
States, and if you are inadmissible, you must file Form I-192
with USCIS at the Vermont Service Center. The address is:
USCIS-Vermont Service Center
75 Lower Welden Street
St. Albans, VT 05479-0001

What Is the Filing Fee and How Should I Pay?
The filing fee for this form is $585. All fees must be submitted
in the exact amount. Do not mail cash.
A fee waiver request will be accepted in accordance with
8 CFR 103.7(c)(5) for the following individuals:
1. An applicant for T nonimmigrant status; and
2. An applicant for U nonimmigrant status.
Use the following guidelines when you prepare your check
or money order for Form I-192:
1. Bank drafts, cashier's checks, certified checks,
personal checks, and money orders must be drawn on
U.S. financial institutions and payable in U.S. funds.
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:
A. You live in Guam, make it payable to Treasurer,
Guam.
B. You live in the U.S. Virgin Islands, make it
payable to the Commissioner of Finance of the
Virgin Islands.

C. You live outside the United States, Guam, or the
U.S. Virgin Islands and are filing your petition or
application where you live; in this case, contact
the nearest U.S. Embassy or consulate of the U.S.
Department of State for instructions on the method
of payment.
D. When applying with CBP, you must make your
check or money order payable to U.S. Customs
and Border Protection. 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. Certain CBP-designated
ports of entry and certain CBP-designated
preclearance offices may accept payment in the
form of cash or credit cards.
We recommend that you contact the CBP
preclearance office or CBP port of entry where
you intend to be processed for payment
instructions. Please visit the CBP Web site at
www.cbp.gov (go to the search box and type
"Form I-192," "I-192," "192", or "waiver").
3. Special Instructions for Citizens of Palau, the
Federated States of Micronesia, or the Marshall
Islands: You may contact the nearest U.S. Embassy
or consulate to receive payment instructions. You
may also receive instructions by e-mailing the
CBP/ARO at: [email protected].
NOTE: Spell out U.S. Department of Homeland Security
or U.S. Customs and Border Protection; do not use the
initials "USDHS," "DHS," or "CBP."
Notice to Those Making Payments by Check. If you send
USCIS 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 fee on this form is current as of the edition date appearing
in the lower right corner of this page. However, because fees
change periodically, you can verify if the fees are correct by
following one of the steps below:
Form I-192 (Rev. 08/20/10)Y Page 2

1. Visit our Web site at www.uscis.gov, select "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.

Address Changes
If You Have an Application Pending With USCIS
If you change your address and you have an application or
petition pending with USCIS, you may change your address
online at www.uscis.gov. Click on "Online Change of
Address" and follow the prompts. You may also change your
address 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
In addition to the above, you should notify the USCIS office
where your application or petition is currently pending of
your change of address. You can find contact information on
the receipt notice (Form I-797) that was sent to you for Form
I-192.
If You Have an Application Pending With CBP
You may change your address by writing via regular mail or
via e-mail to:
Mailing address:
Admissibility Review Office/U.S. Customs and
Border Protection
12825 Worldgate Drive
Herndon, VA 20170
E-mail address:
[email protected]

1. General Information Required to Complete Form I-192
If you are filing this application with CBP, submit the
additional documentation listed in item 2 below.
A. Inadmissible on Foreign Policy or National Security
Grounds under INA section 212(a)(3)
If you are inadmissible under any provision of INA
section 212(a)(3)(A)(i)(II),(B), (E)(iii), or (F), submit a
written statement with your application, signed under penalty
of perjury under U.S. law. The written statement should
explain in detail why you are inadmissible and why you
believe you should be admitted.
Note: Do not file this application if you are inadmissible
under INA section 212(a)(3)(A)(i)(I),(A)(ii),(A)(iii),(C),(E)
(i), or (E)(ii). INA section 212(d)(3)(A) does not permit the
nonimmigrant admission of an alien inadmissible on one of
these grounds.
Note: Do not file this application if you are inadmissible only
under INA section 212(a)(3)(D) for being a member of a
Communist or other totalitarian party, since this
inadmissibility ground applies to immigrants, but not
nonimmigrants.
B. Inadmissible Because of Health-Related Grounds of
Inadmissibility Under INA Section 212(a)(1)
If you file this application because you are inadmissible
because of health-related grounds of inadmissibility, you must
describe the health-related grounds in detail.
If you are seeking admission to the United States for the
treatment of a medical condition, you must attach a written
statement establishing:
1. That satisfactory treatment cannot be obtained outside
the United States;
2. That arrangements for treatment have been made,
including where and from whom or what institution
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.

What Must Be Submitted With the Application?
Read the instructions carefully. Depending whether you
submit the application with CBP or with USCIS, you may
have to submit additional information.
Form I-192 (Rev. 08/20/10)Y Page 3

C. Inadmissible Because of Criminal Conviction(s) and
Related Grounds under INA Section 212(a)(2)

B. Completed Form G-325A, Biographic Information,
signed and dated by you.

If the application is made because you have been convicted of
one or more crimes anywhere in the world, your application
must include a statement, signed by you under penalty of
perjury under U.S. law, specifying (list each crime separately):

C. If you have ever used a name other than your full legal
name as provided on the form: You must list any
names ever used, including names from previous
marriages. Evidence of any legal name changes, such
as marriage certificates, divorce decrees, etc. must be
included. Copies are acceptable.

1. Name of the crime for which you were convicted, and
the country in which you were convicted;
2. Date and place of the commission of the crime;
3. Date and place of conviction (including the name of
the court); and
4. Sentence you received, or any other judgement from
the court related to the crime.
For each conviction, you must submit the official record of
each conviction and all court dispositions, as well as any other
documents relating to the commutation of sentence, parole,
probation, or pardon. An official letter from the court of
jurisdiction stating the reason why an official record is not
available may be submitted.
These records must be in English, or an English translation
must be included. The translator must certify that he or she is
competent to translate and that the translation is accurate.
D. For All Other Grounds of Inadmissibility under INA
Section 212(a)
If you are inadmissible under any ground not listed above, you
must provide a statement signed by you under penalty of
perjury that specifies the applicable ground of inadmissibility,
the factual basis for your inadmissibility, and reasons for
claiming that you should be granted advance permission to
enter the United States.

2. Required Additional Information When Filing Form
I-192 With CBP
If you file this application with CBP, you must submit the
following additional documentation:
A. Proof of citizenship and identity, such as passport,
citizenship card with photograph, naturalization
certificate, or birth certificate. Note that a driver's
license is not considered proof of citizenship but may
accompany a copy of another document. Copies of
these documents are acceptable.

D. Ensure that in Item 5 you list a current and complete
address, including a postal code. You may use a P.O.
Box for mailing purposes. You must also list your
complete and current address on all forms and
correspondence you send to CBP.
E. Each application must contain your official police
record, or evidence that no record exists, from your
country of residence or nationality. This record is valid
for 15 months from the date of issuance for submission
with your Form I-192.
Canadian fliers: You can obtain the information noted
above from the Royal Canadian Mounted Police
(RCMP) by submitting your fingerprints on Form
C-216C. The returned Civil Product and any
accompanying records must be dated and endorsed by
the RCMP within 15 months of submission with your
Form I-192. For instructions, addresses, and payment
information, visit the RCMP Web site at: www.rcmpgrc.ca/.
F. If you retained an attorney to file the application,
counsel must complete Form G-28, Notice of Entry of
Appearance as Attorney or Representative.
G. Recommended Supporting Documentation:
Evidence and/or a written account demonstrating
rehabilitation and character reformation related to your
being inadmissible. The focus of such evidence should
include, but is not limited to, targeted counseling,
rehabilitation programs attended/completed,
achievements in community service, or other relevant,
credible information showing rehabilitation and
character reformation.
A copy of any previously issued Form I-192 decisions
(favorable or otherwise).

Form I-192 (Rev. 08/20/10)Y Page 4

3. Processing Information About the Adjudication of
Form I-192
Note: It is important to fully disclose all grounds of
inadmissibility that apply or may apply to you. If the form
is approved, the approval is only valid for the grounds of
inadmissibility that were listed on the form.
A. If you file this application with CBP: The ARO will
make a decision on your application. You will be notified
in writing of the decision. The decision will be mailed to
the address provided on the application. It is recommended
that you wait until after more than 90 days have passed
from submission of your application before making a status
inquiry. Status inquiries are made via e-mail at the
following address: [email protected].
Attorneys should address their inquiries to:
[email protected].
Refer to the CBP Web site at www.cbp.gov for further
information. Type in the search box "Form I-192" for
information about inadmissibility in general and how it relates
to your particular situation, such as criminal issues or specific
medical conditions.
B. If you file this application with USCIS: USCIS will
adjudicate the application and notify you of the decision at
the address you provided in the application. If you have
any questions about your case, call the USCIS toll-free
number at 1-800-375-5283 or visit the USCIS Web site at
www.uscis.gov. You can also write to the Vermont Service
Center. The address is:
USCIS-Vermont Service Center
75 Lower Welden Street
St. Albans, VT 05479-0001
How Long Is an Approved Form I-192 Valid?
If your application for advance permission to enter as a
nonimmigrant is granted, the permission will be valid for the
duration stated on the approval, subject to the conditions
imposed on your admission. Advance permission to enter as a
nonimmigrant is granted at the discretion of DHS, and may be
revoked at any time. See 8 CFR 212.4(c)(1)(viii).
If you leave the United States, and if the approval is no longer
valid, you will need to file a new application for any future
entries. A prior approval of Form I-192 cannot be revalidated.
See 8 CFR 212.4(c)(3)(vi).

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 Web site at www.uscis.gov.

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, 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 30 minutes per
response, including the time for reviewing instructions and
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 Products Division, 111 Massachusetts Avenue,
N.W., 3rd Floor, Suite 3008, Washington, DC 20529-2210.
OMB No. 1615-0017. Do not mail your application to this
address.

Form I-192 (Rev. 08/20/10)Y Page 5