I-191 Form Table of Changes

I191-009-FRM-TOC-FinalFeeRule-06102020.docx

Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)

I-191 Form Table of Changes

OMB: 1615-0016

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TABLE OF CHANGES – FORM

Form I-191, Application for Relief Under Former Section 212(c) of the Immigration and Nationality Act (INA)

OMB Number: 1615-0016

Date 06/10/2020


Reason for Revision: Fee Rule

Project Phase: Post G-1056


  • Please note – all instances of “if any” and “if applicable” have been removed from Form I-191.


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 02/28/2021

Edition Date 12/02/2019



Current Page Number and Section

Current Text

Proposed Text

Page 1

[Page 1]


To be completed by an attorney or accredited representative (if any).

Select this box if Form G-28 is attached. Attorney State Bar Number (if applicable)

Attorney or Accredited Representative USCIS Online Account Number (if any)

START HERE - Type or print in black ink.


[Page 1]


To be completed by an attorney or accredited representative.

Select this box if Form G-28 is attached. Attorney State Bar Number

Attorney or Accredited Representative USCIS Online Account Number

START HERE - Type or print in black ink.

Page 1-3,


Information About You

[Page 1]



4. Alien Registration Number (A-Number) (if any)


5. USCIS Online Account Number (if any)


[Page 2]


8. Mailing Address

In Care Of Name (if any)

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

ZIP Code

Province

Postal Code

Country

[Page 1]



4. Alien Registration Number (A-Number)


5. USCIS Online Account Number


[Page 2]


8. Mailing Address

In Care Of Name

Street Number and Name

Apt. Ste. Flr. Number

City or Town

State

ZIP Code

Province

Postal Code

Country


Page 16,


Additional Information

[Page 16]



If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-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.


  1. Family Name (Last Name)

Given Name (First Name)

Middle Name


  1. A-Number (if any)



[Page 16]



If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-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.


1. Family Name (Last Name)

Given Name (First Name)

Middle Name


2. A-Number




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2021-01-13

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