Form I-924 Instructions Table of Changes

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TABLE OF CHANGES - INSTRUCTIONS

FORM I-924, Instructions for Application for Regional Center Designation Under the Immigrant Investor Program

OMB Number: 1615-0061

Date: 10/18/2016

Reason for Revision: Revisions to Form I-924 and associated documents are required to enhance adjudications and improve program integrity.  The form and instructions have been reformatted and standard language and new signature sections have been incorporated.

Current Section and Page Number	Current Text	Proposed Text
Page 1, What Is the Purpose of This Form?	This form is used to: 1. Apply to U.S. Citizenship and Immigration Services (USCIS) to request designation of an entity to be a regional center under the Immigrant Investor Pilot Program. 2. Request approval of an amendment to a previously approved regional center. An amended regional center designation request may include requests for determinations relating to any or all of the reasons for filing an amendment request noted below. A. An amendment request may be filed to seek approval of changes to the Regional Center's: 2. Organizational structure or administration; 1. Geographic area; B. An amendment may also be filed to seek a preliminary determination of EB-5 compliance for documentation provided as an exemplar Form I-526, Immigrant Petition by Alien Entrepreneur, prior to the filing of Form I-526 petitions by individual alien entrepreneurs with USCIS. 4. Affiliated commercial enterprise's organizational structure and/or capital investment instruments or offering memoranda. 3. Capital investment projects, to include changes in the economic analysis and underlying business plan used to estimate job creation for previously approved investment opportunities and industrial clusters;	[Page 1] What Is the Purpose of Form I-924? Form I-924, Application for Regional Center Designation Under the Immigrant Investor Program, is used by any economic unit, public or private, in the United States that is involved with promoting economic growth (including increased export sales, improved regional productivity, job creation, or increased domestic capital investment) to: 1. Ask U.S. Citizenship and Immigration Services (USCIS) to be designated as a regional center under the Immigrant Investor Program; or 2. Request an amendment to a previously approved regional center. A. You must file an amendment to: (1) Seek approval for any changes to the regional center’s name, ownership, or organizational structure, or any changes to the regional center’s administration that affect its oversight and reporting responsibilities, or to add or remove any of the regional center’s principals, immediately following the changed circumstances; or (2) Change the geographic area of a regional center. B. You may also file an amendment to: (1) Change the industries of focus of the regional center; (2) Add a new commercial enterprise associated with the regional center and/or seek a preliminary determination of EB-5 compliance for an exemplar Form I-526, Immigrant Petition by Entrepreneur, for that new commercial enterprise, before individual entrepreneurs file their petitions; or (3) Notify USCIS of changes in the name, organizational structure or administration, capital investment instruments, or offering memoranda (including changes in the economic analysis and underlying business plan used to estimate job creation) for a previously added new commercial enterprise associated with the regional center. NOTE: An I-924 amendment is not required to report changes of address, contact information, a change of duties among the regional center principals, changes to non-principal managing companies, contracting agents or similar changes, or information described in Item 2.B. above. The regional center must notify USCIS within 30 days of such changes. Notification of these changes can be made by sending an email to the EB-5 Program mailbox at: [email protected]. USCIS will review any changes submitted by email and may require or recommend, as appropriate, the regional center to file an I-924 Amendment.
Page 1, Who May File This Form?	This form may be filed by an individual on behalf of a State or local governmental agency, a partnership, or any other existing business entity established in the United States and its territories by an individual, who has the executive or managerial authority to seek the Regional Center designation, or an amended designation.	[Page 1] [Deleted]
Page 1, Who Must File a Form I-924 Supplement for Each Fiscal Year?	Each designated regional center entity must file a Form I-924 Supplement for each fiscal year (October 1 through September 30) within 90 days after the end of the fiscal year (on or before December 29) of the calendar year in which the fiscal year ended.	[Page 1] When Must Form I-924A, Annual Certification of Regional Center, Be Filed? Each approved regional center must file Form I-924A, Annual Certification of Regional Center, for each federal fiscal year (October 1 through September 30) on or before December 29 of the calendar year in which the federal fiscal year ended. [Table – 4 rows, 1st row 1 column, next 3 rows 2 columns] An Approved Regional Center [table title] With a designated letter dated: [left column] On/before September 30 On/after October 1 Must file an initial Form I-924A: [right column] On/before December 29 of the same calendar year On/before December 29 of the following calendar year [Page 2] Failure to file Form I-924A in a timely manner for each federal fiscal year in which the regional center has been designated to participate in the Immigrant Investor Program will result in the issuance of a notice of intent to terminate the participation of the regional center in the program. Such failure may ultimately result in the termination of the approval and designation of the regional center. USCIS will review each certification and will notify the regional center should the certification be inadequate.
Page 1, General Instructions and Page 3, General Evidence	[Page 1] 4. Each application must be properly signed and filed. A photocopy of a signed application or a typewritten name in place of a signature is not acceptable. [Page 3] Copies. Unless specifically required that an original document be filed with an application or petition, a legible photocopy may be submitted. Original documents submitted when not required may remain a part of the record. Translations. Any document containing foreign language submitted to USCIS must be accompanied by a full English language translation which the translator has certified as complete and accurate, and by the translator's certification that he or she is competent to translate from the foreign language into English. [Page 1] Fill Out the Form 1. Type or print legibly in black ink. 2. If extra space is needed to complete any item, attach a continuation sheet, indicate the item number, and date and sign each sheet. 3. Answer all questions fully and accurately. State that an item is not applicable with "N/A." If the answer is none, write "none."	General Instructions USCIS provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833. Signature. Each application must be properly signed and filed. For all signatures on this application, USCIS will not accept a stamped or typewritten name in place of a signature. Filing Fee. Each application must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section of these Instructions.) Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the Specific Instructions and What Evidence Must You Submit sections of these Instructions. Biometric Services Appointment. USCIS may require that you appear for an interview or provide fingerprints, photograph, and/or signature at any time to verify your identity, obtain additional information, and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation (FBI), before making a decision on your application, petition, or request. After USCIS receives your application and ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S. Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment. If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that: 1. You provided or authorized all information in the application; 2. You reviewed and understood all of the information contained in, and submitted with, your application; and 3. All of this information was complete, true, and correct at the time of filing. If you fail to attend your biometric services appointment, USCIS may deny your application. Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you must submit an original document. USCIS may request an original document at the time of filing or at any time during processing of an application, petition, or request. If USCIS requests an original document from you, it will be returned to you after USCIS determines it no longer needs your original. NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be immediately destroyed upon receipt. Translations. If you submit a document with information in a foreign language, you must also submit a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that he or she is competent to translate from the foreign language into English. The certification must include the translator’s signature. The U.S. Department of Homeland Security (DHS) recommends the certification contain the translator’s printed name and the date and the translator’s contact information. How To Fill Out Form I-924 Type or print legibly in black ink. If you need extra space to complete any item within this application, use the space provided in Part 10. Additional Information or attach separate sheets of paper; type or print the name of the regional center entity at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. If the Form I-924 you are filing is an amendment, also provide the regional center identification number at the top of each page. Answer all questions fully and accurately. If a question does not apply to you (for example, if the regional center has not yet added a new commercial enterprise and the question relates to a new commercial enterprise) type or print “N/A” unless otherwise directed. If your answer to a question which requires a numeric response is zero or none, type or print “None,” unless otherwise directed.
New		[Page 3] Specific Instructions Part 1. Information About the Regional Center USCIS requires that regional center names be distinguishable from other previously designated regional centers. USCIS will not approve the application or amendment of any regional center whose name is a duplicate or which too closely resembles the name of an existing regional center or which otherwise falsely implies association with or endorsement of a government entity. Item Numbers 1. - 3. Regional Center Name and Identification Number. Provide the name of the regional center entity. If filing an amendment, provide the name of the previously approved regional center (if different from the regional center entity) and provide the regional center identification number in Item Numbers 2. - 3. The regional center entity is the legal entity seeking designation (or previously designated) as a regional center in order to promote economic growth through investment in a limited geographic area. Item Numbers 4.a. - 4.f. Regional Center Mailing Address. Provide the mailing address where the regional center entity can receive a printed notice from USCIS. If the mailing address of the regional center entity is different from its physical address, provide the physical address of the regional center entity in the space provided in Part 10. Additional Information. Item Numbers 5. - 8. Regional Center Contact Information. Provide the daytime telephone number, fax number, email address (if any), and website address (if any) for the regional center entity. Part 2. Information About the Managing Company or Agency (if different from the regional center entity) A “managing company or agency” is any entity, agent, individual, group, or other organization which is not a principal (as that term is defined in Part 4. of the Specific Instructions section) of the regional center entity that is or will be involved in the management, oversight, or administration of the regional center. Item Number 1. Name of the Managing Company or Agency. Provide the name of the managing company or agency. Item Numbers 2.a. - 2.f. Managing Company or Agency Mailing Address. Provide the mailing address of the managing company or agency. Item Numbers 3. - 6. Contact Information for Managing Company or Agency. Provide the daytime telephone number, fax number, email address (if any), and website address (if any) for the regional center’s managing company or agency. NOTE for Multiple Managing Companies or Agencies: If more than one managing company or agency is associated with the regional center, provide the above information for each additional managing company or agency in Part 10. Additional Information. Part 3. Application Type Item Numbers 1.a. - 1. b. Application Type. Select the appropriate box which indicates whether you are submitting an initial application for designation as a regional center or an amendment to an approved regional center application. If filing an amendment, select the appropriate box to indicate the type of amendment. If you are seeking to add a new commercial enterprise as part of this filing, select the box and provide the name of the new commercial enterprise. If you are seeking to add multiple new commercial enterprises, provide information regarding each new commercial enterprise in Part 10. Additional Information. Item Number 2. Project Type. Select the appropriate box to indicate the type of projects that are submitted in support of your application. [Page 4] Part 4. Information About the Organizational Structure, Ownership, and Control of the Regional Center Entity Item Number 1. Organizational Structure of the Regional Center Entity. Indicate whether the regional center entity is a government entity, a corporation, a partnership (including limited partnerships), a limited liability company, or some other type of entity. Information About the Principals of the Regional Center Entity A “principal” is any person or legal entity or organization (for example, a corporation, limited liability company, partnership, or governmental entity) that is an owner of the regional center entity, that is in a position of executive managerial authority over the regional center entity, or that is otherwise in a position to control, influence, or direct the management or policies of the regional center. If you are listing multiple principals of the regional center, provide information regarding each additional principal in Part 10. Additional Information. Information About the Principals of the Regional Center Entity - Owners Item Numbers 2.a. - 2.c. Name. Provide the full legal name of all persons who hold an ownership interest in the regional center entity. Item Numbers 3. - 4. Date of Birth and Country of Birth (for persons). Provide the owner’s date of birth in mm/dd/yyyy format and country of birth. Item Number 5. U.S. Social Security Number (for persons). Provide the owner’s U.S. Social Security Number. Item Number 6. Percentage of Ownership in the Regional Center Entity. Provide the percentage of ownership held in the regional center entity for each owner of the regional center. Item Number 7. Position Held Within the Regional Center Entity. Provide the current title or position held in the regional center entity (if any). Item Number 8. Entity Name (for an owner of the Regional Center Entity that is an entity or organization). Provide the name of all entities that hold an ownership interest in the regional center entity. Item Number 9. Federal Employer Identification Number (for an owner of the Regional Center Entity that is an entity or organization). Provide the Federal Employer Identification Number for the entity listed in Part 4., Item Number 8. Item Number 10.a. Persons Having Ownership, Control, or Beneficial Interest In the Entity Listed In Part 4., Item Number 8. Provide the names of all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 8. Item Number 10.b. Date of Birth. Provide the dates of birth for all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 8. Item Number 10.c. Country of Birth. Provide the countries of birth of all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 8. Item Number 10.d. Percentage of Ownership In the Entity Listed In Part 4., Item Number 8. Provide the percentage of ownership of all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 8. Item Number 10.e. Position Held (if any) In the Entity Listed in Part 4., Item Number 8. Provide the titles of the positions held (if any) of all persons having an ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 8. Item Numbers 11. - 12. Other Names Used By the Owners of the Regional Center Entity (if applicable). Provide any other names ever used by the owner of the regional center entity, including aliases or trade names (DBA). Item Numbers 13.a. - 13.i. Mailing Address for the Owners of the Regional Center Entity. Provide the principal’s mailing address where the printed notices about the application will be sent. [Page 5] Item Numbers 14. - 17. Contact Information for the Owner of the Regional Center Entity. Provide the principal’s current telephone number, business fax number, email address (if any), and website address (if any). Information About Principals of the Regional Center Entity - Non-Owners Item Numbers 18.a. - 18.c. Name. Provide the full legal name for each person who is a principal of but does not hold an ownership interest in the regional center entity. Item Numbers 19. - 20. Date of Birth and Country of Birth. Provide the non-owner’s date of birth in mm/dd/yyyy format and country of birth. Item Number 21. U.S. Social Security Number. Provide the non-owner’s U.S. Social Security Number. Item Number 22. Position Held Within the Regional Center Entity. Provide the non-owner’s current title or position held in the regional center entity. Item Number 23. Entity Name (for a principal of the Regional Center Entity that is an entity or organization). Provide the name of each entity that does not hold an ownership interest in the regional center but has a position of executive managerial authority over the regional center entity or is otherwise in a position to control, influence, or direct the management or policies of the regional center. Item Number 24. Federal Employer Identification Number (for a principal of the Regional Center Entity that is an entity or organization). Provide the Federal Employer Identification Number of the entity listed in Part 4., Item Number 23. Item Number 25.a. Persons Having Ownership, Control, or Beneficial Interest in the Entity Listed in Part 4., Item Number 23. Provide the names of all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 23. Item Number 25.b. Date of Birth. Provide the date of birth in mm/dd/yyyy format for the person having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 23. Item Number 25.c. Country of Birth. Provide the Country of birth for the person having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 23. Item Number 25.d. Percentage of Ownership in the Principal. Provide the percentage of ownership of all persons having ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 23. Item Number 25.e. Position Held in the Non-Natural Principal. Provide the titles of the positions held (if any) of all persons having an ownership, control, or beneficial interest in the entity listed in Part 4., Item Number 23. Item Numbers 26.a. - 27. Other Names Used by the Principal Non-Owner of the Regional Center Entity (if applicable). For each principal, provide other names and aliases used including DBAs (if applicable). Item Numbers 28.a. - 28.i. Mailing Address for the Principal Non-Owner of the Regional Center Entity. Provide the address where the principal non-owner can receive printed notices about the application. Item Numbers 29. - 32. Contact Information for the Principal Non-Owner of the Regional Center Entity. Provide the principal non-owner’s current telephone number, fax number, email address (if any), and website address (if any). NOTE: In addition to U.S. Social Security Numbers, all principals of the regional center are required to provide a copy of a valid government-issued photo identification document. Please do not submit original documents unless specifically requested as they may not be returned. Item Number 33. Date Regional Center Entity Established. Provide the date the regional center entity was established in a mm/dd/yyyy format. Item Number 34. State or Territory Where Regional Center Entity Was Formed. Provide the U.S. state or territory where the regional center entity was established. [Page 6] Item Number 35. Geographic Area of the Regional Center. Confirm that you have provided a listing of the geographic components (states, counties, census tracts) that comprise the limited and contiguous geographic area of the regional center. If filing an amendment to expand the geographic area of the regional center, you must describe both the currently approved geographic area and the area of requested expansion, as well as provide documentation that explains the justifying economic rationale for the expansion. Item Number 36. Map or Other Illustration of the Geographical Area of the Regional Center. Confirm that you have provided a map or other illustration of the geographical area of the regional center. Item Numbers 37. - 38. Limited Geographic Area. Confirm that you have demonstrated that the regional center focuses on a limited, contiguous geographic area, and that the boundaries of the regional center are reasonable based on evidence that the proposed area is contributing significantly to the supply chain and labor pool of the proposed new commercial enterprises. Item Number 39. Regional Center Federal Employer Identification Number. Provide the Federal Employer Identification Number of the regional center entity. Item Number 40. Administration, Oversight, and Management Functions. Confirm that you have submitted a plan that demonstrates that there are (or will be) sufficient management, oversight and administrative functions in place to monitor all capital investment activities and the allocation of the resulting jobs created or maintained under the regional center’s sponsorship. Item Number 41. Documentary Evidence of the Regional Center’s Ownership, Structure, Control and Administration, and Oversight and Management Functions. Indicate the type of documentation you have submitted to establish the ownership, structure, control and administration, and oversight and management functions of the regional center (including the regional center entity). If there are additional managing companies, agencies, principals, agents, individuals or groups that are or will be involved in the management, oversight and administration of the regional center, provide documentary evidence of those relationships. The examples provided are not exclusive. If you have documentation that is not reflected in the examples listed, describe and explain the nature of the documentation in Part 10. Additional Information. Item Number 42. Promotional Activities. Confirm that you have submitted a description of the promotional efforts taken and planned by the sponsors of the regional center, such as a budget, that details how the regional center has conducted or will conduct promotional activities. Item Number 43. Plan of Operation. Confirm that you have submitted a plan of operation which demonstrates and explains how: The regional center will promote economic growth with respect to increased export sales, improved regional productivity, job creation, or increased domestic capital investment within the geographic area of the regional center; EB-5 investors will be recruited; The capital investment opportunities will be offered; Potential investors will subscribe or commit to the investment; The regional center will conduct its due diligence to ensure, among other things, that only lawful sources of immigrant investor funds are associated with the regional center’s new commercial enterprises; and Any and all fees, profits, surcharges, or other remittances that will be paid to the regional center or any of its principals, managing companies or agencies, or agents through the new commercial enterprises into which EB-5 investors will invest capital. [Page 7] Item Numbers 44. - 46. USCIS Action on Previously Approved Designation or Request for Designation as a Regional Center. Indicate whether USCIS has ever terminated the regional center’s designation. Also, indicate if USCIS has ever denied a Form I-924, Application For Regional Center Designation Under the Immigrant Investor Program, or Form I-924 amendment submitted by the regional center entity, principal, managing company, or agent involved with this current application. Provide the regional center name and identification number associated with the terminated regional center. Explain the termination as well as the association between the regional center principal, managing company, or owner and the terminated regional center in Part 10. Additional Information. Part 5. Information About the Industries That Will Be the Focus of EB-5 Capital Investments Sponsored Through the Regional Center Type of Industry Item Numbers 1. - 6. Included Industries and Economic Analyses and/or Business Plan. Identify the industries that will be the focus of EB-5 new commercial enterprises and any job-creating entities in your regional center and provide the North American Industry Classification System (NAICS) codes for all industries. Indicate whether your application is supported by an economic analysis and underlying business plan for determining prospective EB-5 job creation through EB-5 investments for each industry listed. For each additional industry, provide the information in Part 10. Additional Information. Part 6. Organizational Structure, Ownership, and Control of All New Commercial Enterprises In Which Investors Have Made or Will Make Their Capital Investments NOTE: Complete this section if the regional center seeks to add a new commercial enterprise associated with the regional center or where the regional center requests to amend a previously added new commercial enterprise. USCIS will not approve the amendment to add a new commercial enterprise whose name falsely implies association with or endorsement of a government entity. If the regional center seeks to add more than one new commercial enterprise, provide the information below for each additional new commercial enterprise in Part 10. Additional Information. Item Number 1. Name of the New Commercial Enterprise. Provide the name of the new commercial enterprise. Item Number 2. New Commercial Enterprise Federal Employer Identification Number. Provide the Federal Employer Identification Number of the new commercial enterprise. Item Number 3. Organizational Structure of the New Commercial Enterprises. Indicate whether the new commercial enterprise listed in Part 6., Item Number 1. is a corporation, a partnership (including limited partnerships), a limited liability company, or another type of entity. If the organizational structure is different from the examples listed on the application, select “Other” and describe the nature of the organizational structure in Part 10. Additional Information. Also, use Part 10. if you need additional space to provide information about new commercial enterprises that are established. Item Numbers 4. – 11.e. Information About the Owner of the New Commercial Enterprise. List all persons or entities or organizations that own or have a percentage of ownership in the new commercial enterprise and indicate the percentage of ownership of each. For persons that hold an ownership interest in the new commercial enterprise, provide each person’s full legal name, date of birth, country of birth, and the position held within the new commercial enterprise (if any). For entities or organizations that hold an ownership interest in the new commercial enterprise, also provide the entity’s legal name, Federal Employer Identification Number, and the name of all persons having ownership, control, or beneficial interest in that entity or organization. Also, provide the date of birth, country of birth, percentage of ownership, and the position held (if any) of all persons having ownership, control, or beneficial interest in that entity or organization. Item Number 12. Date the New Commercial Enterprise Was Established. If the new commercial enterprise has already been established, provide the date when it was established in mm/dd/yyyy format. Item Number 13. State or Territory Where the New Commercial Enterprise Was Formed. Indicate the U.S. state or territory where the new commercial enterprise was formed. [Page 8] Item Number 14. Documentary Evidence of the New Commercial Enterprise Ownership, Structure, Control and Administration, and Oversight and Management Functions. Indicate the type of documentation you have submitted to establish the new commercial enterprise ownership, structure, control and administration, and oversight and management functions. If there are additional companies, agencies, agents, individuals, or groups that are or will be involved in the management, oversight and administration of the new commercial enterprise, provide documentary evidence of such relationships. The list of examples are not exclusive. If you have documentation that is not reflected in the examples listed, describe and explain the nature of the documentation in Part 10. Additional Information. Item Number 15. Equity Stake in the New Commercial Enterprise. Indicate whether the regional center or any of its principals or agents will have an equity stake in the new commercial enterprise. You must submit documentation that details such equity ownership. Item Number 16. Fees, Profits, Surcharges and/or Other Remittances. Indicate whether the regional center or any of its principals, managing companies or agencies, or agents have or will receive fees, profits, surcharges, or other remittances through EB-5 capital investment activities from the new commercial enterprise or any current or prospective EB-5 investors. You must submit documentation that describes the remittances and details when and under what circumstances the remittances will be paid. Part 7. Statement, Contact Information, Declaration, Certification, and Signature of the Authorized Individual Item Numbers 1.a. - 8.b. This application must be signed and filed by an authorized individual of the regional center. An “authorized individual” of the regional center is a principal of the regional center entity with the executive managerial authority to seek the regional center designation, or amended designation, on behalf of a state or local governmental agency, or any other existing entity established in the United States and its territories. Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further, you must sign and date your application and provide your title or position held within the regional center, daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the authorized individual. A stamped or typewritten name in place of a signature is not acceptable. Part 8. Interpreter’s Contact Information, Certification, and Signature Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section, provide his or her name, the name and address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if any). The interpreter must sign and date the application. Part 9. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Authorized Individual Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other than you, the authorized individual of the regional center. If the same individual acted as your interpreter and your preparer, that person should complete both Part 8. and Part 9. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he or she also may be obliged to also submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, along with your application. [Page 9] Part 10. Additional Information Item Numbers 1. - 7.d. If you need extra space to provide any additional information within this application, use the space provided in Part 10. Additional Information. If you need more space than what is provided in Part 10., you may make copies of Part 10. to complete and file with your application or attach a separate sheet of paper. Type or print the regional center entity’s name at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. We recommend that you print or save a copy of your completed application to review in the future and for your records.
Page 1-3, Initial Evidence Requirements	[Page 1] Initial Evidence Requirements 1. Initial Evidence Requirements for filing: A. A request for the Approval and Designation of a Regional Center; or B. An Amendment to a Previously Approved Regional Center Designation. 2. The Regional Center must focus on a geographical area. This area must be contiguous and clearly identified in the application by providing a detailed map of the proposed geographic area of the Regional Center. [Page 2] Submit a plan of operation for the regional center which addresses how investors will be recruited and how the regional center will conduct its due diligence to ensure that all immigrant investor funds affiliated with its capital investment projects will be obtained from lawful sources. Provide the industry category title and the North American Industry Classification System (NAICS) code for each industrial category. The NAICS code can be obtained from the U.S. Department of Commerce, Census Bureau (www.census.gov/epcd/www/naics.htm). Enter the code from left to right, one digit in each of the six boxes provided in the form in Part 3, item 7. If you use a code with fewer than six digits, enter the code left to right and then add zeros in the remaining unoccupied boxes. 5. Provide a general prediction which addresses the prospective impact of the capital investment projects sponsored by the regional center, regionally or nationally, with respect to increases in household earnings; greater demand for business services, utilities, maintenance and repair; and construction both within and without the regional center. [Page 1] Provide an economic analysis that relies on statistically valid forecasting tools that shows and describes how jobs will be created for each industrial category of economic activity (for example, manufacturing, food production/processing, warehousing, tourism and hospitality, transportation, power generation, agriculture, etc.) [Page 2] The application should be supported by a statement from the principal of the Regional Center that explains the methodologies that the Regional Center will use to track the infusion of each EB-5 alien investor's capital into the job creating enterprise, and to allocate the jobs created through the EB-5 investments in the job creating enterprise to each associated EB-5 alien investor. The anticipated minimum capital investment threshold (either $1,000,000 or $500,000) for each investor should also be identified. 4. Provide a detailed description of the past, current and, future promotional activities for the regional center. Include a description of the budget for this activity, along with evidence of the funds committed to the regional center for promotional activities. [Page 3] 3. Each Regional Center must fully explain how at least 10 new full-time jobs will be created by each individual alien investor within the Regional Center either directly or indirectly. [Page 2] The business plan should also identify any and all fees, profits, surcharges, or other like remittances that will be paid to the regional center or any of its principals or agents through EB-5 capital investment activities. [Page 1] The job creation analysis for each economic activity must be supported by a copy of a business plan for an actual or exemplar capital investment project for that category. Note: A business plan provided in support of a regional center application should contain sufficient detail to provide valid and reasoned inputs into the economic forecasting tools and must demonstrate that the proposed project is feasible under current market and economic conditions. The form of the EB-5 investment from the commercial enterprise into the job creating project (equity, loan, or some other financial arrangement) should be identified. [Page 2] 6. The application must fully describe and document the organizational structure of the regional center. In addition, it is helpful for the regional center to show that the capital investment offering instruments, business structure, and operating agreements of the proposed commercial enterprises that will be affiliated with the regional center are compliant with the EB-5 statutory and regulatory requirements, as well as the binding EB-5 precedent decisions. NOTE: There are four EB-5 precedent decisions, which may be accessed at http://www.justice.gov/eoir/vll/intdec/lib_indecitnet.html. i. Matter of Soffici, 22 I&N Dec. 158 (BIA 1998); ii. Matter of Izummi, 22 I&N Dec. 169 (BIA 1998). Note: Pub. L. 107-273 eliminated the requirement set forth in Izummi that, in order for a petitioner to be considered to have “created” an original business, he or she must have had a hand in its actual creation. Under the new law, an alien may invest in an existing business at any time following its creation, provided he or she meets all other requirements of the regulations; iii. Matter of Hsiung, 22 I&N, Dec. 201 (BIA 1998); and iv. Matter of Ho, 22 I&N Dec. 206 (BIA 1998). Documentation of the above should be included but not limited to: A. A description and documentation of the business structure of both the regional center entity and the commercial enterprises that are or will be affiliated with the regional center, such as articles of incorporation, certificate of incorporation, or legal creation as a partnership or limited liability company (LLC), partnership or LLC agreements, etc.; [Page 3] B. Draft subscription agreement for investment into the commercial enterprise; C. Draft escrow agreement and instructions, if any; D. List of proposed financial institutions that will serve as the Escrow Agent, if any; E. Draft of an offering letter, memorandum, private placement memorandum, or similar offering to be made in writing to an immigrant investor offering capital investments through the regional center; and F. Draft memorandum of understanding, interagency agreement, contract, letter of intent, or similar agreement to be entered into with any other party, agency or organization to engage in activities on behalf of or in the name of the regional center. NOTE: For your application submission and supporting evidence for items 1 through 6 above, please use fasteners to attach the documents at the top of each page, and individually tab the corresponding written materials and statements. [Page 2] NOTE: INA section 203(b)(5)(A)(ii) requires that each EB-5 alien investor must create full-time employment for not fewer than 10 U.S. citizens or aliens lawfully admitted for permanent residence or other immigrants lawfully authorized to be employed in the United States. (Jobs created for the EB-5 alien investor and his or her spouse, sons, or daughters do not qualify.) 8 CFR 204.6(j)(4)(ii) and 8 CFR 216.6(a)(4) provide a means for EB-5 alien investors to meet the statutory requirement of creating at least 10 jobs for qualifying U.S. workers through capital investments in a “troubled business.” The EB-5 alien investor's capital investment in a “troubled business” must maintain the number of existing employees at no less than the pre-investment level for the period following his or her admission as a conditional permanent resident. In order to meet the requirements of INA 203(b)(5)(A)(ii), each alien investor must create or maintain at least 10 jobs through the capital investment in a troubled business. If a regional center plans to focus on capital investments in “troubled businesses” within the geographic area of the regional center, then the economic analysis, business plan, and feasibility study submitted must show that each EB-5 alien investor's capital investment in a “troubled business” commercial enterprise will create or maintain at least 10 direct or indirect jobs.	[Page 9] What Evidence Must You Submit? [Deleted] You must submit all evidence requested in these Instructions with your application, including the items listed below. If you fail to submit required evidence with your application, USCIS may reject or deny your application under 8 CFR section 103.2(b)(1). Provide the following evidence for applications filed to request initial designation of a regional center and/or to make amendments to the name, organizational structure, ownership, geographic area, or administration of a previously designated regional center. 1. Map or Illustration of Geographic Area of Regional Center. You must list and provide a map or other illustration of the geographic components that comprise the limited and contiguous geographic area of the regional center as further described in Part 4. of the Specific Instructions section. 2. Plan of Operation. You must submit a plan of operation as further described in Part 4. of the Specific Instructions section. 3. North American Industry Classification System (NAICS). Provide the industry category title and the NAICS code for each industrial category related to the regional center. You can obtain the NAICS code(s) at www.census.gov/eos/www/naics. The NAICS Code provided should accurately reflect the industry category or subcategory related to the regional center. 4. Prediction of Capital Investment Impact Through New Commercial Enterprises. Provide a general prediction which addresses the prospective economic impact, regionally or nationally, of the proposed new commercial enterprises sponsored by the regional center. Address the prospect for increases in household earnings; demand for business services, utilities, and maintenance and repair; and construction both inside and outside the regional center. Also, using the NAICS codes, present an economic analysis that relies on economically or statistically valid forecasting tools to show how jobs will be created for each industrial category of economic activity (for example, manufacturing, food production/processing, warehousing, tourism and hospitality, transportation, power generation, and agriculture.) 5. Methodology to Track Capital Investment. The application must be supported by a statement from the principal of the regional center that explains the methodologies that the regional center will use to track the infusion of each EB-5 investor’s capital into each new commercial enterprise and any related job creating entities. The statement must also explain how the regional center will allocate the jobs created through the EB-5 investments in the new commercial enterprise and/or job-creating entities to each associated EB-5 investor. 6. Promotional Activities. Provide a detailed description of the past, present, and future promotional activities for the regional center. Include a description of the promotional efforts taken and planned by the sponsors of the regional center, such as a budget for these activities, along with evidence of the funds committed to the regional center for promotional activities. [Page 10] 7. Organizational Structure and Compliance With EB-5 Requirements. The application must fully describe and document the organizational structure of the regional center entity. Provide evidence such as: A. A description and documentation of the business structure of the regional center entity, such as articles or certificates of formation, bylaws, partnership or LLC agreements, or other formation and governing documents for the regional center entity; and B. Draft memorandum of understanding, interagency agreement, contract, letter of intent, or similar agreement to be entered into for any other party, agency, or organization to engage in activities on behalf of, or in the name of, the regional center. For applications filed to request the addition of a new commercial enterprise associated with the regional center (whether as part of the initial designation or as an amendment), or to amend a previously added new commercial enterprise, provide any of the evidence listed above that has not already been provided along with the evidence listed below. 1. Job Creation. Each regional center must: A. Fully explain how the new commercial enterprise will create at least 10 new full-time jobs for qualifying employees associated with each immigrant investor either directly or indirectly. B. Identify the form of the EB-5 investment (for example, equity stake, loan, or some other financial arrangement) from the new commercial enterprise into the job creating entity. C. Identify any and all fees, profits, surcharges, or other remittances that will be paid to the regional center or any of its principals, managing companies or agencies, or agents through the new commercial enterprise. D. Provide a detailed, comprehensive, and credible business plan for the new commercial enterprise that: (1) Shows that the proposed plan of operations of the new commercial enterprise is feasible under current market and economic conditions. (2) Includes an economic analysis using economically or statistically valid tools to forecast how the new commercial enterprise’s activities will create qualifying jobs. 2. Minimum Capital Investment. The regional center must identify the anticipated minimum capital investment threshold (either $1 million or $500,000) into the new commercial enterprise, for each immigrant investor. 3. Organizational Structure and Compliance With EB-5 Requirements. The application must show that the capital investment offering instruments, business structure, and operating agreements of the new commercial enterprise that will be associated with the regional center comply with the EB-5 statutory and regulatory requirements and binding precedent decisions. Submit evidence such as: [Deleted] A. A description and documentation of the business structure of the new commercial enterprise that will be associated with the regional center, such as articles or certificates of formation, bylaws, partnership or LLC agreements, or other formation and governing documents for the new commercial enterprise; B. A draft subscription agreement for investment into the new commercial enterprise; C. Draft escrow agreement and instructions, if any; D. A list of proposed financial institutions that will serve as the escrow agent, if any; E. A draft offering letter, private placement memorandum, or similar offering document to be provided to an immigrant investor relating to capital investments through the regional center and in the associated new commercial enterprise; and F. A draft memorandum of understanding, interagency agreement, contract, letter of intent, or similar agreement to be entered into for any other party, agency, or organization to engage in activities on behalf of, or in the name of, the new commercial enterprise. [Deleted]
Page 3, What Is the Filing Fee?	The filing fee for this form is $6,230. NOTE: There is no separate filing fee for the filing of Form I-924A Supplement. Use the following guidelines when you prepare your check or money order for filing the fee: 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. NOTE: 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 Determine 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 USCIS fees change periodically, you can verify if the fees are correct by following one of the steps below: 1. Visit the USCIS Web site at www.uscis.gov, select “FORMS,” and check the appropriate fee; or 2. Telephone the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TDD (hearing impaired) call: 1-800-767-1833.	What Is the Filing Fee? The filing fee for Form I-924 is $17,795. [Deleted] USCIS will reject your application if you submit the incorrect fee. NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL CASH. You must submit all fees in the exact amounts. Use the following guidelines when you prepare your check or money order for the Form I-924 filing fee: 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 Make the check or money order payable to U.S. Department of Homeland Security. NOTE: 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, USCIS will convert it 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 your bank will show it on your regular account statement. You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your check is returned as unpayable, USCIS will re-submit the payment to the financial institution one time. If the check is returned as unpayable a second time, we will reject your application and charge you a returned check fee. How To Check If the Fees Are Correct Form I-924’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS fees change periodically, you can verify that the fee is correct by following one of the steps below. Visit the USCIS website at www.uscis.gov, select “FORMS,” and check the appropriate fee; or Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or hard of hearing) call: 1-800-767-1833. USCIS will reject your Form I-924 if you submit the incorrect fee or if you attach payment for more than what you are required to pay. In such a case, USCIS will return any filing fees you submitted with your Form I-924. Form I-924 is not eligible for a fee waiver under 8 CFR 103.7(c).
Page 3, Where To File?	Submit Form I-924 and all supporting documentation to: For direct mail, send to: U.S. Citizenship and Immigration Services California Service Center Attn: EB-5 Processing Unit P.O. Box 10526 Laguna Niguel, CA 92607-0526 For non-U.S. Postal Service deliveries (e.g., private couriers), send to: U.S. Citizenship and Immigration Services California Service Center Attn: EB-5 Processing Unit 24000 Avila Road, 2nd Floor Laguna Niguel, CA 92677	[Page 11] Where To File? Please visit our website at www.uscis.gov/I-924 or call our National Customer Service Center at 1-800-375-5283 for the most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833. [Deleted]
Page 4, Address Changes	If you change your address and you have a Form I-924 application pending with USCIS, you may change your address by sending notification to: For direct mail, send to: U.S. Citizenship and Immigration Services California Service Center Attn: EB-5 Processing Unit P.O. Box 10526 Laguna Niguel, CA 92607-0526 For non-U.S. Postal Service deliveries (e.g., private couriers), send to: U.S. Citizenship and Immigration Services California Service Center Attn: EB-5 Processing Unit 24000 Avila Road, 2nd Floor Laguna Niguel, CA 92677	[Page 11] Address Change You must notify USCIS of any change to the mailing address of the regional center entity.   For information on filing a change of address, go to the USCIS website at www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283.   For TTY (deaf or hard of hearing) call:  1-800-767-1833. [Page 12] NOTE: Do not submit a change of address request to USCIS Lockbox facilities because the Lockbox does not process change of address requests. Sending notification of address change to the EB-5 Program mailbox at: USCIS.ImmigrantInvestorProgram @dhs.gov does not negate your requirement to notify USCIS as explained in www.uscis.gov/addresschange. [Deleted]
Page 4, Processing Information	Initial processing. Once Form I-924 has been accepted, it will be checked for completeness, including submission of the required initial evidence. If you do not completely fill out the form or file it without required initial evidence, you will not establish a basis for eligibility, and we may deny your Form I-924. Requests for more information or evidence. We may request more information or evidence. We may also request that you submit the originals of any copy. We will return these originals when they are no longer needed. Acceptance. Any application that is not signed or accompanied by the correct fee will be rejected with a notice that it is deficient. You may correct the deficiency and resubmit the application. However, an application is not considered properly filed until accepted by USCIS. Decision. The decision on Form I-924 involves a determination of whether you have established eligibility for the requested designation, or an amendment to a previously approved designation. You will be notified of the decision in writing. Approval. If you have established that you qualify for Regional Center designation, or a designation amendment, then the application will be approved. The approval notice will provide information as to your responsibilities and obligations as a USCIS-designated regional center, and the evidence to submit in support of regional center-affiliated individual EB-5 petitions with USCIS, as well as details on the reporting and oversight requirements for Regional Centers. Denial. If you have not established that you qualify for the benefit sought, the application will be denied. You will be notified in writing of the reasons for the denial, and of the regional center's right to appeal the decision to deny the application to the Administrative Appeals Office as specified in 8 CFR 103.3. NOTE: Beginning with the fiscal year following approval, each designated Regional Center entity must file the Form I-924A Supplement for each fiscal year (October 1 through September 30) within 90 days after the end of the fiscal year (on or before December 29) of the calendar year in which the fiscal year ended. Designated Regional Centers must notify USCIS within 30 days of a change of address, contact information, regional center principal(s), contracting agents or similar changes in the operation or administration of the Regional Center. Notification can be made by sending an e-mail to the EB-5 Program mailbox at: [email protected]. NOTE: An original Form G-28 must also be provided through the mail as outlined in the Form G-28 filing instructions for changes in the attorney of record.	[Page 12] Processing Information Initial Processing. Once USCIS accepts your application, we will check it for completeness. If you do not completely fill out this application, you will not establish a basis for your eligibility and USCIS may reject or deny your application. Requests for More Information. We may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If USCIS requests an original document from you, it will be returned to you after USCIS determines it no longer needs your original. [Deleted] Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application. At the time of any interview or other appearance at a USCIS office, we may require that you provide your fingerprints, photograph, and/or signature to verify your identity or update background and security checks. Decision. The decision on Form I-924 involves a determination of whether you have established eligibility for the requested designation, or an amendment to a previously approved designation. USCIS will notify you of the decision in writing. Approval. If you have established that you qualify for the benefit sought, USCIS will approve your application. The approval notice will provide information about the responsibilities and obligations of your USCIS designated regional center. It will also list the evidence to submit in support of regional center-associated individual EB-5 petitions, as well as details on the reporting and oversight requirements for regional centers. Denial. If you have not established eligibility for the benefit sought, USCIS will deny this application. The denial notice will describe the reasons for the denial, and the regional center’s right to appeal to the Administrative Appeals Office as specified in 8 CFR Part 103.3. [Deleted]
Page 4, USCIS Forms and Information	To ensure you are using the latest version of this form, visit the USCIS Web site at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information. If you do not have internet access, you may order USCIS forms by calling our toll-free number at 1-800-870-3676. You may also obtain forms and information by telephoning our USCIS National Customer Service Center at 1-800-375-5283. For TDD (hearing impaired) call: 1-800-767-1833. To make an inquiry or ask a question about the Regional Center Program you may send an e-mail to: [email protected]	[Page 12] USCIS Forms and Information To ensure you are using the latest version of this application, visit the USCIS website at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information. If you do not have Internet access, you may order USCIS forms by calling the Forms Request Line at 1-800-870-3676. You may also obtain forms and information by calling the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833. Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at www.uscis.gov. Select “Schedule an Appointment” and follow the screen prompts to set up your appointment. Once you finish scheduling an appointment, the system will generate an appointment notice for you. [Deleted]
New		[Page 12] Penalties If you knowingly and willfully falsify or conceal a material factor submit a false document with your Form I-924, we will deny your Form I-924 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.
Page 4, USCIS Compliance Review and Monitoring	By signing this form, you have stated under penalty of perjury (28 U.S.C. 1746) that all information and documentation submitted with this form is true and correct. You also have authorized the release of any information from your records that USCIS may need to determine eligibility for the benefit you are seeking and consented to USCIS verification of such information. The Department of Homeland Security has the right to verify any information you submit to establish eligibility for the immigration benefit you are seeking at any time. USCIS' legal right to verify this information is in 8 U.S.C. 1103, 1155, 1184, and 8 CFR parts 103, 204, and 205. To ensure compliance with applicable laws and authorities, USCIS may verify information before or after your case has been decided. Agency verification methods may include but are not limited to: review of public records and information; contact via written correspondence, the Internet, facsimile, or other electronic transmission or telephone; unannounced physical site inspections of residences and places of employment; and interviews. Information obtained through verification will be used to assess your compliance with the laws and to determine your eligibility for the benefit sought. Subject to the restrictions under 8 CFR part 103.2(b)(16), you will be provided an opportunity to address any adverse or derogatory information that may result from a USCIS compliance review, verification, or site visit after a formal decision is made on your case, or after the agency has initiated an adverse action which may result in revocation or termination of an approval.	[Page 13] USCIS Compliance Review and Monitoring By signing this application, you have stated under penalty of perjury (28 USC section 1746) that all information and documentation submitted with this application are complete, true and correct. You have also authorized the release of any information from the records associated with the regional center, that USCIS may need to determine the regional center’s eligibility for designation, and you have consented to USCIS verifying such information. DHS has the authority to verify any information you submit to establish eligibility for regional center designation at any time. USCIS’ legal authority to verify this information is in 8 USC sections 1103, 1155, and 1357; the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Act, 1993 Pub. L. No. 102-395, section 610, 106 Stat 1828, 1874 (1992) (as amended); and 8 CFR Parts 103, 204, 205, and 287. To ensure compliance with applicable laws and authorities, USCIS may verify information before or after this application is decided. Agency verification methods may include, but are not limited to: review of public records and information; contact via written correspondence, the Internet, facsimile, other electronic transmission, or telephone; unannounced physical site inspections of residences and locations of employment; and interviews. USCIS will use information obtained through verification to assess your compliance with the laws and to determine eligibility for regional center designation. Subject to the restrictions under 8 CFR 103.2(b)(16) and/or 8 CFR 204.6(m)(6), USCIS will provide you with an opportunity to address any adverse or derogatory information that may result from a USCIS compliance review, verification, or site visit after a formal decision is made on this application or after the agency has initiated an adverse action that may result in revocation or termination of an approval.
New		[Page 13] USCIS Privacy Act Statement AUTHORITIES: The information requested on this application, and the associated evidence, is collected under the Immigration and Nationality Act, sections 101, 103, and 203 (as amended) and the Departments of Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriation Act, 1993 Pub. L. No. 102-395, section 610, 106 Stat 1828, 1874 (1992) (as amended). PURPOSE: The primary purpose for collecting the requested information on this application is to determine if the regional center has established eligibility for regional center designation or amended designation. DHS will use the information you provide to grant or deny the regional center application. The identifying information requested on this application relating to the principals of the regional center and the owners of associated new commercial enterprises will allow DHS to perform standard background checks with law enforcement agencies. These background checks may reveal derogatory information that may result in denial of your application and/or termination of the regional center’s designation. DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, and any requested evidence, may delay a final decision in your case or result in denial of your application. ROUTINE USES: DHS may share the information you provide on this application with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS-007 - Benefits Information System and DHS/USCIS-001 - Alien File, Index, and National File Tracking System of Records] which you can find at www.dhs.gov/privacy. DHS may also share the information, as appropriate, for law enforcement purposes or in the interest of national security.
Page 5, 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 40 hours per response for each application. The estimated reporting burden for this collection of information 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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave., N.W. Washington, DC 20529-2140, OMB No. 1615-0061. Do not mail your completed Form I-924 to this address.	[Page 14] 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 Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 51 hours per response, including the time for reviewing instructions, gathering the required documentation and information, completing and submitting the application, preparing statements, and attaching necessary documentation. 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 Coordination Division, Office of Policy and Strategy, 20 Massachusetts Ave NW, Washington, DC 20529-2140; OMB No. 1615-0061. Do not mail your completed Form I-924 to this address.

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