Form I-901 Fee Remittance Form for Certain F,J and M Nonimmigrants

DRAFT
Department of Homeland Security
U.S. Immigration and Customs Enforcement

OMB No. 1653-0034
(Expires 08/31/2008)

I-901, Fee Remittance for Certain F, J and M Nonimmigrants

INSTRUCTIONS
This form is used to pay the fee to support the F, M, and J nonimmigrant reporting system authorized by Public Law 104-208,
Subtitle D, Section 641. If you are subject to this fee and do not pay it, you will not be issued an F, M, or J nonimmigrant visa
or be admitted to the United States. If you are in the United States and apply for a change of status, you are subject to this
fee. If you do not pay it, your application will not be processed.

Fee payment is required if the applicant is:
a. An alien seeking an F-1, F-3, J-1, M-1, or M-3 visa from
an embassy or consulate abroad for initial attendance at a
school approved by the Department of Homeland Security
(DHS) or for initial participation in an exchange visitor
program designated by the Department of State (DOS).
There is an exception noted below in section j.
b. An alien who does not need a visa to enter the United
States as a student or exchange visitor, who will be
applying for admission at a U.S. port-of-entry to begin
initial attendance at a DHS-approved school or initial
participation in a DOS-designated exchange visitor
program except as specified in section j below.
c. An alien in the United States seeking a change of status
to F-1, F-3, J-1, M-1, or M-3. There are exceptions noted
below in sections j and n.
d. A nonimmigrant who was initially granted J-1 status as a
participant in an exchange visitor program sponsored by the
Federal government, as specified in section j below, and
who is now transferring to another J program in the same
category that is not sponsored by the Federal government.

e. A J-1 nonimmigrant who is applying for a change of
category from within the United States. There is an
exception noted below in section j.
f. A J-1 nonimmigrant who is applying for a reinstatement
after a substantive violation, or who has been out of
program status for longer than 120 days but less than
270 days during the course of his or her program. There
is an exception noted below in section j.
g. An F-1, F-3, M-1, or M-3 nonimmigrant applying for
reinstatement of student status, who has been out of
student status for a period exceeding the presumptive
ineligibility requirement set forth in 8 CFR 214.2(f)(16)(A)
or 214.2(m)(16)(A).
h. An F-1, F-3, M-1, or M-3 nonimmigrant who has been
absent from the United States for a period exceeding 5
months, was not working towards completion of
curriculum in authorized overseas study, and now
wishes to re-enter for a new F or M program of study in
the United States.

Fee payment not required if applicant is:
i. An F-2, J-2, or M-2 dependent.
j. A J-1 participant in an exchange visitor program
sponsored by the Federal government. A program
sponsored by the Federal government is identified by a
program number of G-1, G-2, or G-3.

k. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant who has
previously paid the fee, or whose Form I-20 or
DS-2019 initial attendance was issued on or before
August 31, and who is applying for a visa to return to
the United States as a continuing student or a
continuing participant of an exchange visitor program.
l. An F-1, F-3, M-1, or M-3 nonimmigrant transferring
between approved schools, changing educational
levels, or applying for post-completion practical
training.
m. A J-1 nonimmigrant transferring between programs in
the same exchange visitor category where no
differential fee exists.
n. A nonimmigrant applying for a change of classification
from within the United States between F-1 and F-3
status or between M-1 and M-3 status.
o. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant
requesting/applying for an extension of stay in a single
program.
p. An alien reapplying for a visa from an embassy or
consulate abroad after having paid the SEVIS fee for a
previous F-1, F-3, M-1, or M-3 visa that was denied,
and who is applying again for the same type of program
within 12 months of the initial denial.
q. An alien reapplying for a visa from an embassy or
consulate after having paid the SEVIS fee for a previous
J-1 visa that was denied, and who is applying again for
the same type J-1 exchange visitor category within 12
months of the initial denial, unless there is a fee
differential.
r. A nonimmigrant who has applied for a change of status
in the United States to an F, M, or J classification, had
the initial application for the change of status denied for a
reason other than failure to pay the SEVIS fee, and is
applying for a motion to re-open the case within 12
months of the original denial.

Documents needed to fill out this form:
- F-1, F-3, M-1, and M-3 status only: Form I-20
(Certificate of Eligibility for Nonimmigrant Student Status)
issued to you by DHS-approved school you will attend.
- J-1 status only: Form DS-2019 (Certificate of
Eligibility for Exchange Visitor [J-1] Status) issued to
you by the designated exchange visitor program in
which you will participate.

DRAFT
Instructions:
This form must be completed in English.

OMB No. 1653-0034

18.

Item Number:
1-3. Enter your name exactly as it appears on your
Form I-20 or DS-2019.
4.

5.

A. Air Mail: There is no additional charge for
this option.

Enter the street address to where your
payment receipt should be sent. Include
apartment number and Post Office (P.O.) box,
if applicable.

B. Expedited Delivery: There will be an added
shipping and handling fee of $30.00 for this option.
Your receipt will be delivered in an expedited
manner to the address listed in item numbers 4-8 on
the Form I-901.

Enter the city where your payment receipt
should be sent. Include a province as
required. You may abbreviate (e.g., Toronto,
ON) to ensure successful delivery outside the
United States.

6.

For U.S. addresses only. If the address is in
the United States, enter the 2-letter
abbreviation for the state. If the address is not
a state within the United States, do not fill in
this section.

7.

Enter the country to which your payment
receipt should be sent.

8.

Enter the postal code or zip code.

9.

List your date of birth in mm/dd/yyyy format.

10. Check the appropriate space pertaining to your
gender.
11. Enter your city (province) of birth.
12. Enter your country of birth, as listed on your
Form I-20 or DS-2019.
13. Enter your country of citizenship, as listed on
your Form I-20 or DS-2019.
14. F/M status only: Enter the school code found
on your Form I-20. Leave the Program Number
blank.
J-1 status only: Enter the exchange visitor
program number found on the Form DS-2019 (e.
g.; P-1-00000). If your sponsor number begins
with G-1, G-2, or G-3, you are exempt from fee
payment. Leave the School Code blank.
15. Enter the SEVIS identification number listed
above the barcode on the top right corner of your
Form I-20 or DS-2019.
16. Enter the passport number contained in your
passport, if available.
17. A. F/M status: Check the box in subpart A
which indicates that you owe $100.00 and
continue on to item number 18. Do not check
any boxes in subpart B.
B. J-1 status: Do not check the box in subpart A.
Check the box in subpart B that corresponds to
the exchange visitor category found on your Form
DS-2019. (If your sponsor number in section 2 of
Form DS-2019 begins with G-1, G-2, or G-3, you are
exempt from fee payment). Continue on to item
number 18.

Select the type of delivery you want used to send
your receipt (Form I-797) to you. This receipt will
serve as confirmation of payment. You must
select one of the following two options:

If you choose the expedited delivery option, you
must include a physical address. The courier will
not deliver to a post office box. You must also
include a telephone number. This information will
not be collected by the DHS and will only be used by
the mail courier service in order to ensure expedited
delivery.
19.

Add the amount from the box checked in item 17 (fee
pertaining to classification) and item 18 (choice for
delivery). This is the total amount of money that you
owe. Please send only one check or money order.

Payment by mail:
The only forms of payment that will be accepted are checks
and money orders. No other form of payment will be accepted.
Do not mail cash.
All checks and money orders must be made in U.S. dollars and
drawn on a bank located in the United States.
All checks and money orders must be made payable to the
"I-901 Student/Exchange Visitor Processing Fee."
Checks are accepted subject to collection. A charge of
$30.00 will be imposed if a check for payment of a fee is not
honored by the bank on which it is drawn.
Write the name of the student or exchange visitor and the
SEVIS identification number on the check.
Fees must be submitted in the exact amount. Failure tofile
forms correctly or with the correct payment will result in the
return of this form to you and additional delay in
processing. Fees will not be refunded.
Mail the Form I-901 and payment to:
I-901 Student/Exchange Visitor Processing Fee
P.O. Box 970020
St. Louis, MO 63197-0020
or
Courier the Form I-901 and payment to:
I-901 Student/Exchange Visitor Processing Fee
1005 Convention Plaza
St. Louis, MO 63101

Payment by Internet:
You may also complete the Form I-901 online. The form and
payment may then be submitted as explained above.
Alternately, online payment may be made using a credit card.
The online Form I-901 is available at: www.FMJfee.com.
Form I-901 Instructions (07/28/04) Page 2

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OMB No. 1653-0034

Privacy Notice
This information is collected to facilitate the processing
of fees paid by nonimmigrant foreign students and other
exchange program participants under the DHS Student and
Exchange Visitor Program. ICE uses this information to send a
receipt to the student or exchange visitor upon payment and to
positively identify that a particular student or exchange visitor has
paid the require fee. Completion of this form is voluntary,
however failure to provide all of the requested information may
result in denial of your application for a visa or change of status.
ICE may share this information with appropriate government
agencies and organizations to facilitate civil or criminal law
enforcement investigations or prosecutions and the lawful
sharing of law enforcement intelligence information, as well as
for other purposes authorized under the Privacy Act and the
Student and Exchange Visitor Information System (SEVIS)
notice published at 70 Federal Register 14477 (Mar. 22, 2005).
The authority to collect this information derives from
certain provisions of the Illegal Immigration Reform and
Immigrant Responsibility Act of 1996 and the Immigration and
Nationality Act, as amended, codified at 8 USC 1372 (Program to
Collect Information Relating to Nonimmigrant Foreign Students
and Other Exchange Program Participants); 8 USC 1154
(Procedure for Granting Immigrant Status); 8 USC 1184
(Admission of Nonimmigrants); and 8 USC 1258 (Change of
Nonimmigrant Classification).

Paperwork Reduction Act Notice
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. We try to create forms and instructions that are
accurate, can be easily understood, and that impose the least
possible burden on you to provide us with information. Often
this is difficult because some immigration laws are very complex.
The estimated average time to complete and file this application
is 19 minutes. If you have comments regarding the accuracy of
this estimate or suggestions for making this form simpler, you
may write to the Department of Homeland Security, U.S. Immigration
and Customs Enforcement, 425 I Street, N.W., Room 1122,
Washington, DC 20536. Do not mail your completed application
to this address.

Form I-901 Instructions (07/28/04) Page 3

DRAFT

OMB No. 1653-0034 (Expires 08/31/2008)

I-901, Fee Remittance for Certain
F, J and M Nonimmigrants

Department of Homeland Security
U.S. Immigration and Customs Enforcement

TYPE OR PRINT IN BLUE OR BLACK INK
1. Last Name (Surname):

2. First Name (Given Name):

3. Middle Name:

WHERE DO YOU WANT YOUR PAYMENT RECEIPT TO BE SENT?
4. Street Address /P.O. Box:

Apartment Number:

No. 2 Street Address /P.O. Box:

6. State (U.S. Address Only):

5. City (Province):
7. Country:
8. Zip Code/Postal Code:

9. Date of Birth (mm/dd/yyyy):

10. Gender (Check one): Male:
Female:

11. City (Province) of Birth:
12. Country of Birth:
13. Country of Citizenship:
14. School Code (I-20) (F/M nonimmigrant only):

Program Number (DS-2019) (J-1 nonimmigrant only):

OR

214F
15. SEVIS Identification Number:

16. Passport Number:

N
17. Amount to be paid:
A. F/M only: ($100)
B. J-1 only: Indicate your Exchange Visitor Category (Check only one of the following boxes)
Research Scholar ($100)
Short-term scholar ($100)
Specialist ($100)
Camp Counselor ($35)
Summer Work/Travel ($35)
AuPair ($35)

Student ($100)
Trainee ($100)
Teacher ($100)
Professor ($100)
Alien Physician ($100)
Government Visitor ($100)
18. Return Receipt:

A. Air Mail ($0)

(You must choose one) B. Expedited Delivery ($30)

19. Total amount (add total from 17 and 18): $

Telephone:
.
Form I-901 (07/28/04)