I-192 Frm Toc

I192-004-FRM-TOC-BiometricsRule-NPRM-05122020.docx

Application for Advance Permission to Enter as Nonimmigrant Pursuant to Section 212(d)(3)(A)(ii) of the INA, Section 212(d)(13) of the INA, or Section 212(d)(14) of the INA

I-192 FRM TOC

OMB: 1615-0017

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TABLE OF CHANGES – FORM

Form I-192, Application for Advance Permission to Enter as a Nonimmigrant

OMB Number: 1615-0017

05/12/2020


Reason for Revision: Biometrics Rule

Project Phase: NPRM


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes

Expires 04/30/2021

Edition Date 04/09/2019



Current Page Number and Section

Current Text

Proposed Text

Pages 1-4,

Part 2. Information About You

[page 2]


Address History

Provide physical addresses for everywhere you have lived during the last five years, whether inside or outside the United States. Provide your current address first. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.


26. Do you believe that you may be inadmissible to the United States? Y/N


If you answered "Yes" to Item Number 26., explain the reasons why you believe, according to the best of your knowledge, that you may be inadmissible in Part 8. Additional Information. If you were told that you are inadmissible, provide the reason you were given.


27. Have you previously filed an application for advance permission to enter the United States as a nonimmigrant? Y/N


If you answered “Yes” to Item Number 27., provide the details in Item Numbers 28. – 29.e. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.



30. Have you EVER been in the United States for a period of six months or more? Y/N


If you answered “Yes” to Item Number 30., provide the dates you were in the United States (from and to) and your immigration status at the time of entry into the United States in the space provided in Part 8. Additional Information.


31. Have you EVER filed an application or petition for immigration benefits with the U.S. Government, or has one ever been filed on your behalf? Y/N


If you answered “Yes” to Item Number 31., provide the information requested in Item Numbers 32.a.-32.c.


If you (or somebody else on your behalf) have filed multiple applications or petitions for immigration benefits with the U.S. Government, use the space provided in Part 8. Additional Information to provide the answers to Item Numbers 32.a.-32.c. for each of your additional applications or petitions.



33. Have you EVER been denied or refused an immigration benefit by the U.S. Government, or had a benefit revoked or terminated (including but not limited to visas)? Y/N


If you answered “Yes” to Item Number 33., provide an explanation the information in the space provided in Part 8. Additional Information.


34. Have you EVER, in or outside the United States, been arrested, cited, charged, indicted, fined, convicted, or imprisoned for breaking or violating any law or ordinance, excluding minor traffic violations? Y/N


If you answered “Yes” to Item Number 34., describe the incidents in detail and include all offenses where impaired driving may have been an issue in the space provided in Part 8. Additional Information.



[page 2]


Address History

Provide physical addresses for everywhere you have lived during the last five years, whether inside or outside the United States. Provide your current address first. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.



26. Do you believe that you may be inadmissible to the United States? Y/N


If you answered "Yes," to Item Number 26., explain the reasons why you believe, according to the best of your knowledge, that you may be inadmissible in Part 7. Additional Information. If you were told that you are inadmissible, provide the reason you were given.


27. Have you previously filed an application for advance permission to enter the United States as a nonimmigrant? Y/N


If you answered “Yes,” to Item Number 27., provide the details in Item Numbers 28. – 29.e. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.



30. Have you EVER been in the United States for a period of six months or more? Y/N


If you answered “Yes,” provide the dates you were in the United States (from and to) and your immigration status at the time of entry into the United States in the space provided in Part 7. Additional Information.


31. Have you EVER filed an application or petition for immigration benefits with the U.S. Government, or has one ever been filed on your behalf? Y/N


If you answered “Yes” to Item Number 31., provide the information requested in Item Numbers 32.a.-32.c.


If you (or somebody else on your behalf) have filed multiple applications or petitions for immigration benefits with the U.S. Government, use the space provided in Part 7. Additional Information to provide the answers to Item Numbers 32.a.-32.c. for each of your additional applications or petitions.



33. Have you EVER been denied or refused an immigration benefit by the U.S. Government, or had a benefit revoked or terminated (including but not limited to visas)? Y/N


If you answered “Yes” to Item Number 33., provide the information in the space provided in Part 7. Additional Information.



34. Have you EVER, in or outside the United States, been arrested, cited, charged, indicted, fined, convicted, or imprisoned for breaking or violating any law or ordinance, excluding minor traffic violations? Y/N


If you answered “Yes” to Item Number 34., describe the incidents in detail and include all offenses where impaired driving may have been an issue in the space provided in Part 7. Additional Information.



Page 4,

Part 3. Biographic Information

[page 5]


Part 3. Biographic Information


1. Ethnicity (Select only one box)

Hispanic or Latino

Not Hispanic or Latino


2. Race (Select all applicable boxes)

American Indian or Alaska Native

Asian
Black or African American

Native Hawaiian or Other Pacific Islander

White33


3. Height

Feet

Inches


4. Weight

Pounds


5. Eye Color (Select only one box)

Black

Blue

Brown

Gray

Green
Hazel

Maroon

Pink

Unknown/Other


6. Hair Color (Select only one box)

Bald (No hair)

Black

Blond

Brown
Gray

Red

Sandy

White

Unknown/Other


[page 4]


[deleted]

Part 4. Other Information About You



Part 4. Other Information About You


Employment History


Provide your employment history for the last five years, whether inside or outside the United States. Provide the most recent employment first. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.



Information About Prior Marriages (if any)


If you have been married before, whether in the United States or in any other country, provide the information requested in Item Numbers 31.a. - 36.c. about your prior marriage. If you have had more than one previous marriage, use the space provided in Part 8. Additional Information to provide the answers to Item Numbers 31.a. - 36.c. for each additional marriage.




Part 3. Other Information About You


Employment History


Provide your employment history for the last five years, whether inside or outside the United States. Provide the most recent employment first. If you need extra space to complete this section, use the space provided in Part 7. Additional Information.



Information About Prior Marriages (if any)


If you have been married before, whether in the United States or in any other country, provide the information requested in Item Numbers 31.a. - 36.c. about your prior marriage. If you have had more than one previous marriage, use the space provided in Part 7. Additional Information to provide the answers to Item Numbers 31.a. - 36.c. for each additional marriage.


Page 8,

Part 5. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature

[page 8]


Part 5. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature



1.b. The interpreter named in Part 6. read to me every question and instruction on this application, and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.


2. At my request, the preparer named in Part 7., [Fillable Field], prepared this application for me based only upon information I provided or authorized.



I further authorize release of information contained in this application, in supporting documents, and in my DHS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.


I understand that USCIS may require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, if I am required to provide biometrics, I will be required to sign an oath reaffirming that:


1) I reviewed and understood all of the information contained in, and submitted with, my application; and

2) All of this information was complete, true, and correct at the time of filing.


I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.



[page 5]


Part 4. Applicant’s Statement, Contact Information, Certification, and Signature




1.b. The interpreter named in Part 5. read to me every question and instruction on this application, and my answer to every question in [Fillable Field], a language in which I am fluent, and I understood everything.


2. At my request, the preparer named in Part 6., [Fillable Field], prepared this application for me based only upon information I provided or authorized.



I further authorize release of information contained in this application, in supporting documents, and in my DHS records to other entities and persons where necessary for the administration and enforcement of U.S. immigration laws.


[deleted]












I certify, under penalty of perjury, that all of the information in my application and any document submitted with it were provided or authorized by me, that I reviewed and understand all of the information contained in, and submitted with, my application and that all of this information is complete, true, and correct.



Page 8,

Part 6. Interpreter’s Contact Information, Certification, and Signature

[page 8]


Part 6. Interpreter’s Contact Information, Certification, and Signature



Interpreter's Certification


I certify, under penalty of perjury, that:

I am fluent in English and [fillable field], which is the same language specified in Part 5., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.




[page 6]


Part 5. Interpreter’s Contact Information, Certification, and Signature



Interpreter's Certification


I certify, under penalty of perjury, that:

I am fluent in English and [Fillable Field], which is the same language specified in Part 4., Item Number 1.b., and I have read to this applicant in the identified language every question and instruction on this application and his or her answer to every question. The applicant informed me that he or she understands every instruction, question, and answer on the application, including the Applicant's Declaration and Certification, and has verified the accuracy of every answer.


Page 9,

Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant

[page 9]


Part 7. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


[page 7]


Part 6. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


Page 10,

Part 8. Additional Information

[page 10]


Part 8. Additional Information



[page 8]


Part 7. Additional Information




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMulvihill, Timothy R
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File Created2021-01-13

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