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

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

i-192instr

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

OMB: 1615-0017

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

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)(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
CBP- designated preclearance office. There are exceptions
to in-person 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: attorneyinquiry.waiver.
[email protected].
Form I-192 Instructions (Rev. 11/23/10) 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:
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.
Form I-192 Instructions (Rev. 11/23/10) Y Page 2

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.
Do not send a Change of Address Request to a USCIS
Lockbox facility.

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 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:

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;

[email protected]
Do not send a Change of Address Request to a USCIS
Lockbox facility.

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.

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.
Form I-192 Instructions (Rev. 11/23/10) Y Page 3

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

B. Completed Form G-325A, Biographic Information,
signed and dated by you.
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.
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.rcmp-grc.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:
H. 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.
I. A copy of any previously issued Form I-192 decisions
(favorable or otherwise).
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 I-192 Instructions (Rev. 11/23/10) Y Page 4

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: inquiry.
[email protected] 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, Office of the Executive
Secretariat, 20 Massachusetts Avenue, N.W., Washington, DC
20529-2020. OMB No. 1615-0017. Do not mail your
application to this address.

Form I-192 Instructions (Rev. 11/23/10) Y Page 5


File Typeapplication/pdf
File Titlei-192
File Modified2010-11-22
File Created2007-07-12

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