Instructions TOC

TABLE OF CHANGES – INSTRUCTIONS

Form I-910, Instructions for Application for Civil Surgeon Designation

OMB Number: 1615-0114

07/27/2020

Reason for Revision: Fee Rule

Project Phase: Post G-1056

• Please note – all instances of “if any” and “if applicable” have been removed from Instructions for Form I-910.

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 07/31/2022

Edition Date 07/23/2020

Current Page Number and Section	Current Text	Proposed Text
Pages 3-4, General Instructions	[Page 4] … 2. If you need extra space to complete any item within this application, use the space provided in Part 10. Additional Information or attach a separate sheet of paper. Type or print your name and Civil Surgeon Identification (CSID) Number (if any) 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. …	[Page 4] … 2. If you need extra space to complete any item within this application, use the space provided in Part 10. Additional Information or attach a separate sheet of paper. Type or print your name and Civil Surgeon Identification (CSID) Number 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. …
Pages 4-8, Specific Instructions	[Page 5] … Item Number 12. USCIS Online Account Number (if any). Item Number 13. Alien Registration Number (A-Number) (if any). Provide your A-Number. Your A-Number is the number used to identify your immigration records. It begins with an “A” and can be found on correspondence that has been received from the Department of Homeland Security (DHS) or USCIS. If you do not have an A-Number, type or print “N/A.” … [Page 8]  Part 10. Additional Information Item Numbers 1. - 7. 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 your name and CSID Number (if any) 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.  You may also submit a statement with additional information on a separate sheet of paper, but you must annotate in Part 10. that you are attaching a separate sheet.  You must submit the separate sheet at the same time you submit your Form I-910.  Type or print your name and CSID Number (if any) at the top of each separate sheet; indicate the Page Number, Part Number, and Item Number of Form I-910 to which the additional information relates; 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 5] … Item Number 12. USCIS Online Account Number. Item Number 13. Alien Registration Number (A-Number). Provide your A-Number. Your A-Number is the number used to identify your immigration records. It begins with an “A” and can be found on correspondence that has been received from the Department of Homeland Security (DHS) or USCIS. If you do not have an A-Number, type or print “N/A.” … [Page 8]  Part 10. Additional Information Item Numbers 1. - 7. 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 your name and CSID Number 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.  You may also submit a statement with additional information on a separate sheet of paper, but you must annotate in Part 10. that you are attaching a separate sheet.  You must submit the separate sheet at the same time you submit your Form I-910.  Type or print your name and CSID Number at the top of each separate sheet; indicate the Page Number, Part Number, and Item Number of Form I-910 to which the additional information relates; 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.
Pages 8-9, What Is the Filing Fee?	[Page 8] What Is the Filing Fee? The filing fee for Form I-910 is $785. … [Page 9] 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, we 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. …	[Page 8] What Is the Filing Fee? The filing fee for Form I-910 is $635. … [Page 9] 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, we may reject your application. …
Page 11, DHS Privacy Notice	[Page 11] … DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your request to be designated as a Civil Surgeon. …	[Page 11] … DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number, and any requested evidence, may delay a final decision or result in a rejection or denial of your request to be designated as a Civil Surgeon. …

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