Paperwork
Reduction Act Statement: An agency may not conduct or sponsor an
information collection and a person is not required to respond to
this information unless it displays a current valid OMB control
number and an expiration date. The control number for this
collection is 1651-0121. The estimated average time to complete this
application is 40 minutes. If you have any comments regarding the
burden estimate you can write to U.S. Customs and Border Protection,
Office of Regulations and Rulings, 799 9th Street, NW., Washington
DC 20229. Exp. 10/31/2010
Terms and Condition
Personal Information
Date and Place of Birth
Citizenship Information
Admissibility Information
Primary Residence
Current Address
Address History
Employment History
File Type | application/msword |
Author | Authorized User |
Last Modified By | Authorized User |
File Modified | 2010-10-05 |
File Created | 2010-10-05 |