TABLE OF CHANGES – FORM
Form I-941, Application for Entrepreneur Parole
OMB Number: 1615-0136
06/10/2020
Reason for Revision: Final Fee Rule. Project Phase: Post G-1056
Legend for Proposed Text:
Please note – all instances of “if any” and “if applicable” have been removed from Form I-941.
Expires 04/30/2022 Edition Date 4/24/2019 |
Current Page Number and Section |
Current Text |
Proposed Text |
Page 1, For USCIS Use Only |
[Page 1]
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To be completed by an attorney or accredited representative (if any). Select this box if Form G-28 or G-28I is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any)
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[Page 1]
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To be completed by an attorney or accredited representative. Select this box if Form G-28 or G-28I is attached. Attorney State Bar Number Attorney or Accredited Representative USCIS Online Account Number
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Pages 1-3, Part 1. Information About Entrepreneur (Applicant) |
[Page 1]
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6. USCIS Online Account Number (if any)
7. U.S. Social Security Number (if any)
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14. Current or Last Class of Admission (if any) (for example B-1, F-1, H-1B)
15. If you are present in the United States, other than on the basis of an Entrepreneur Parole, provide the receipt number of your most recent filing with USCIS (if applicable).
Provide information about your most recent Form I-94 Arrival/Departure Record, in Item Numbers 16.a. - 16.f. (if any).
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16.c. Travel Document Number (if any)
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Where do you want USCIS to send all travel documents for you, and your spouse and dependent children (if applicable)?
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[Page 1]
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6. USCIS Online Account Number
7. U.S. Social Security Number
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14. Current or Last Class of Admission (for example B-1, F-1, H-1B)
15. If you are present in the United States, other than on the basis of an Entrepreneur Parole, provide the receipt number of your most recent filing with USCIS.
Provide information about your most recent Form I-94 Arrival/Departure Record, in Item Numbers 16.a. - 16.f.
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16.c. Travel Document Number
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Where do you want USCIS to send all travel documents for you, and your spouse and dependent children?
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Pages 3-4, Part 3. Information About Family Members Requesting Parole or Re-Parole with Entrepreneur |
[Page 3]
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2. A-Number (if any)
3. USCIS Online Account Number (if any)
[Page 4]
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9. A-Number (if any)
10. USCIS Online Account Number (if any)
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15. A-Number (if any)
16. USCIS Online Account Number (if any)
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[Page 3]
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2. A-Number
3. USCIS Online Account Number
[Page 4]
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9. A-Number
10. USCIS Online Account Number
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15. A-Number
16. USCIS Online Account Number
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Page 4, Part 4. Information About Additional Entrepreneurs Requesting or Have Been Granted Parole or Re-Parole with the Same Start-up Entity |
[Page 4]
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4. Receipt Number (if applicable)
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8. Receipt Number (if applicable)
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[Page 4]
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4. Receipt Number
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8. Receipt Number
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Pages 4-8, Part 5. Basis of Eligibility – Qualifying Start-Up Entity and Owners |
[Page 4]
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4. DUNS number (if any)
[Page 7]
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27.d. Legal Entity Name (if any)
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29. A-Number (if any)
30. U.S. Social Security Number (if any)
31. USCIS Online Account Number (if any)
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35.b. Position Held (if Any) in the Entity Listed in Part 5., Item Number 1.
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39. Email Address (if any)
40. Website Address (if any)
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[Page 8]
41.d. Legal Entity Name (if any)
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43. A-Number (if any)
44. U.S. Social Security Number (if any)
45. USCIS Online Account Number (if any)
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49.b. Position Held (if Any) in the Entity Listed in Part 5., Item Number 1.
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53. Email Address (if any)
54. Website Address (if any)
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[Page 4]
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4. DUNS number
[Page 7]
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27.d. Legal Entity Name
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29. A-Number
30. U.S. Social Security Number
31. USCIS Online Account Number
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35.b. Position Held in the Entity Listed in Part 5., Item Number 1.
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39. Email Address
40. Website Address
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[Page 8]
41.d. Legal Entity Name
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43. A-Number
44. U.S. Social Security Number
45. USCIS Online Account Number
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49.b. Position Held in the Entity Listed in Part 5., Item Number 1.
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53. Email Address
54. Website Address
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Pages 8-12, Part 6. Information on Qualified Investors or Government Entities Providing a Grant/Award |
[Page 8]
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3. A-Number (if any)
4. U.S. Social Security Number (if any)
[Page 9]
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9. Email Address (if any)
10. Website Address (if any)
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15. DUNS Number (if any)
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21. DUNS Number (if any)
[Page 10]
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24. DUNS Number (if any)
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26.c. DUNS Number (if any)
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30. Email Address (if any)
31. Website Address (if any)
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[Page 11]
36. DUNS Number (if any)
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42. DUNS Number (if any)
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45. DUNS Number (if any)
[Page 12]
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51. Email Address (if any)
52. Website Address (if any)
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[Page 8]
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3. A-Number
4. U.S. Social Security Number
[Page 9]
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9. Email Address
10. Website Address
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15. DUNS Number
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21. DUNS Number
[Page 10]
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24. DUNS Number
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26.c. DUNS Number
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30. Email Address
31. Website Address
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[Page 11]
36. DUNS Number
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42. DUNS Number
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45. DUNS Number
[Page 12]
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51. Email Address
52. Website Address
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | OIDP/FQC, Andrew Kim |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |