I-485 Ins Toc

I485-028-INS-TOC-OMBReview-PublicChargeNPRM-02172022.docx

Application to Register Permanent Residence or Adjust Status

I-485 INS TOC

OMB: 1615-0023

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TABLE OF CHANGES – INSTRUCTIONS

Form i-485, Application to Register Permanent Residence or Adjust Status

OMB Number: 1615-0023

02/17/2022


Reason for Revision: Public Charge (PC) NPRM

Project Phase: OMB Review


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 03/31/2023

Edition Date 03/29/2021



Current Page Number and Section

Current Text

Proposed Text

Page 4-8,


General Instructions

[Page 4]


General Instructions



9. Part 8. General Eligibility and Inadmissibility Grounds. Select the answer you think is correct. If you answer “Yes” to any questions (or if you answer “No,” but are unsure of your answer), provide an explanation of the events and circumstances in the space provided in Part 14. Additional Information.


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If you answer “Yes” to Part 8., Item Numbers 61. and 62., attach evidence of any public assistance you received, or are likely to receive while in the United States.











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For more information on the receipt of public benefits and its impact on public charge determinations, please see www.uscis.gov.


10. Part 10. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature. Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.



[Page 4]


General Instructions



9. Part 8. General Eligibility and Inadmissibility Grounds. Select the answer you think is correct. If you answer “Yes” to any questions (or if you answer “No,” but are unsure of your answer), provide an explanation of the events and circumstances in the space provided in Part 14. Additional Information.


If you answer “Yes” to Part 8., Item Number 61., you are required to complete Item Numbers 62. – 66.d. To find out whether you are subject to the public charge ground of inadmissibility, see the Appendices tab in the USCIS Policy Manual Volume 8, Part G, at https://www.uscis.gov/policy-manual/volume-8-part-g.


If you answer “Yes” to Part 8., Item Number 66.a., complete the chart in Part 8., Item Number 66.c. and attach evidence showing the dates of receipt and dollar amount received of public cash assistance for income maintenance: Supplemental Security Income (SSI); Temporary Assistance for Needy Families (TANF); State, Tribal, territorial, or local cash benefit programs for income maintenance (often called “General Assistance” in the State context, but which also exist under other names).


NOTE: Item Numbers 66.a. – 66.d. are only asking about public benefits (i.e. public cash assistance for income maintenance and long-term institutionalization at government expense) which the I-485 applicant received or is receiving at the time the Form I-485 is filed, and where the applicant was/is a listed beneficiary. Do not include any benefits for which you are not listed as a beneficiary, even if you assisted with the application. Do not include benefits that you only applied for, or were approved to receive in the future but have not received in the past and/or are not currently receiving. Do not include public benefits you recevied only on behalf of another individual.


If you answer “Yes” to Part 8., Item Number 66.b., complete the chart Part 8., Item Number 66.d. and attach evidence showing the name, city, and state of each institution in which you received long-term institutionalization at government expense. Do not include imprisonment for conviction of a crime or institutionalization for short periods for rehabilitation purposes. If you believe that your institutionalization violated federal law, including the American Disabilities Act or the Rehabilitation Act, you should submit documentation to support your claim.


For more information on the receipt of public benefits and its impact on public charge inadmissibility determinations, please see www.uscis.gov.


10. Part 10. Applicant’s Statement, Contact Information, Declaration, Certification, and Signature. Select the appropriate box to indicate whether you read this application yourself or whether you had an interpreter assist you. If someone assisted you in completing the application, select the box indicating that you used a preparer. Further, you must sign and date your application and provide your daytime telephone number, mobile telephone number (if any), and email address (if any). Every application MUST contain the signature of the applicant (or parent or legal guardian, if applicable). A stamped or typewritten name in place of a signature is not acceptable.


Page 20,


Paperwork Reduction Act

[Page 20]


Paperwork Reduction Act


An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 6 hours and 15 minutes per response, including the time for reviewing instructions, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of biometrics is estimated to require 1 hour and 10 minutes. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0023. Do not mail your completed Form I-485 to this address.


[Page 20]


Paperwork Reduction Act


An agency may not conduct or sponsor an information collection, and a person is not required to respond to a collection of information, unless it displays a currently valid Office of Management and Budget (OMB) control number. The public reporting burden for this collection of information is estimated at 9 hours and 25 minutes per response, including the time for reviewing instructions, gathering the required documentation and information, completing the application, preparing statements, attaching necessary documentation, and submitting the application. The collection of biometrics is estimated to require 1 hour and 10 minutes. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: U.S. Citizenship and Immigration Services, Office of Policy and Strategy, Regulatory Coordination Division, 5900 Capital Gateway Drive, Mail Stop #2140, Camp Springs, MD 20588-0009; OMB No. 1615-0023. Do not mail your completed Form I-485 to this address.



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleI-485
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2022-02-28

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