TABLE OF CHANGES – INSTRUCTIONS
Form I-539, Instructions for Application to Extend/Change Nonimmigrant Status
OMB Number: 1615-0003
08/04/2020
Reason for Revision: Public Charge Injunction
Legend for Proposed Text:
Expires 10/31/2021 Edition Date 06/09/2020 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 1-14, Who May File Form I-539? |
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Who May File Form I-539?
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Part 5. Public Benefits
In general, as a condition on the approval of this application, you must demonstrate that you have not received since obtaining the nonimmigrant status you seek to extend or from which you seek to change, one or more public benefits set forth in 8 CFR 212.21(b) (and listed below) for more than 12 months within any 36 month period (such that, for instance, receipt of two benefits in one month counts as two months).
You must provide information about all public benefits you have received since obtaining the nonimmigrant status you seek to extend or from which you seek to change. You do not need to provide information on your receipt of public benefits if you are filing under one of these categories: A1, A2, G1, G2, G3, G4, NATO1, NATO2, NATO3, NATO4, NATO5, NATO6, NATO7, T1, T2, T3, T4, T5, T6, U1, U2, U3, U4, U5).
Receipt means when a benefit-granting agency provides a public benefit to you whether in the form of cash, voucher, services, or insurance coverage. Only the amount received by or attributable to you will be considered.
In the space provided, please provide all requested information about each public benefit received, regardless of how long you received the public benefit. USCIS will calculate the duration you received public benefits, as described below, for purposes of determining your eligibility for an extension of stay or change of status. If you received public benefits intermittently throughout the year, provide each instance separately. For example, if you received SNAP from January to February and from June to December, list the information separately.
Indicate whether, since obtaining the nonimmigrant status you seek to extend or from which you seek to change, or have been certified to receive, any of the following public benefits (You need to respond even if you fall within one of the categories of individuals for whom receipt of public benefits will not be considered – see table below for evidence that must be provided to document that you qualify for the exclusion):
1. Any Federal, state, local, or tribal cash assistance for income maintenance; 2. Supplemental Security Income (SSI); 3. Temporary Assistance for Needy Families (TANF); 4. Federal, state, or local cash benefit programs for income maintenance (often called “General Assistance” in the state context, but which may exist under other names); 5. Supplemental Nutrition Assistance Program (SNAP, formerly called “Food Stamps”); 6. Section 8 Housing Assistance under the Housing Choice Voucher Program; 7. Section 8 Project-Based Rental Assistance (including Moderate Rehabilitation); 8. Public Housing under the Housing Act of 1937, 42 U.S.C. 1437 et seq.; and 9. Federally-funded Medicaid.
NOTE: You only need to report public benefits received on or after October 15, 2019 but not any received before October 15, 2019.
If you have not received any public benefits, please select that option.
If you are not certified to receive any of the above listed public benefits, please select that option.
If you have received or are certified to receive the public benefits but requested disenrollment, please provide, in addition to providing the information about any exclusions below, evidence of your request to disenroll if the public benefit-granting agency has not processed your request.
Unless you qualify for certain exclusions listed in the table below, you are ineligible for extension of stay and change of status if you have received, since obtaining the nonimmigrant status that you seek to extend or from which you seek to change, the benefits listed above for more than 12 months in the aggregate within any 36-month period (such that, for instance, receipt of two public benefits in one month counts as two months).
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The following is a list of exclusions from the public benefit considerations listed above. If you belong to one of the following categories, submit the evidence listed for the applicable categories.
[Table] Exclusion U.S. Armed Forces Service Members
Description At the time the public benefit was received or at the time you file your Form I-539, or at time of adjudication of your Form I-539, the applicant is:
Evidence you must submit to qualify for exclusions (as applicable)
Exclusion Federally-funded Medicaid Description
Evidence you must submit to qualify for exclusions (as applicable)
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Exclusion Children Who Will Naturalize Under INA 322 Description
Evidence you must submit to qualify for exclusions (as applicable)
Exclusion Public Benefits While in an Immigration Category Exempt from Public Charge Description
Evidence you must submit to qualify for exclusions (as applicable)
Documentation
If you have received any of the public benefits listed above, submit evidence in the form of a letter, notice, certification, or other agency documents that contain the following:
1. Your name; 2. Name and contact information for the public benefit granting agency; 3. Type of benefit; 4. Date you started receiving the benefit or if certified, date you will start receiving the benefit; and 5. Date benefit or coverage ended or expires (mm/dd/yyy) (if applicable).
If you have received public benefits as listed above, please indicate whether an exclusion applies to you in Item Number 3. and provide the evidence listed in the chart above to demonstrate why the benefit should not be considered.
Nonimmigrant Categories
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Who May File Form I-539?
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | I-539 |
Author | Hallstrom, Samantha M |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |