I-290B Form Table of Changes

TABLE OF CHANGES – FORM

Form I-290B, Notice of Appeal or Motion

OMB Number: 1615-0095

06/15/2023

Reason for Revision: Limited REV

Project Phase: OMB Review

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 12/31/2023

Edition Date 12/02/2021

Current Page Number and Section	Current Text	Proposed Text
Pages 1-2, Part 1. Information About the Applicant or Petitioner	[Page 1] Part 1. Information About the Applicant or Petitioner If a business or organization is filing this appeal or motion, skip to Item Number 3. and do not complete Item Numbers 1. or 2. 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 2. Date of Birth 3. Business or Organization Name (if applicable) 4. Alien Registration Number (A-Number, if any) 5. USCIS Online Account Number (if any) Mailing Address (or Military APO/FPO Address, if applicable) 6.a. In Care Of Name (if any) 6.b. Street Number and Name 6.c. [ ] Apt. [ ] Ste. [ ] Flr. [Fillable Field] 6.d. City or Town 6.e. State 6.f. ZIP Code 6.g. Province 6.h. Postal Code 6.i. Country [Page 2] Alternate or Safe Mailing Address If you are filing an appeal or motion related to a decision on a Violence Against Women Act (VAWA) petition, human trafficking victim (T nonimmigrant) application, or victim of a qualifying crime (U nonimmigrant) petition, and you do not want USCIS to send notices about the appeal or motion to your home, you may provide a safe mailing address. If you are filing an appeal or motion related to a decision in a Special Immigrant Juvenile petition, you may provide an alternate mailing address. 7.a. In Care Of Name (if any) 7.b. Street Number and Name 7.c. [ ] Apt. [ ] Ste. [ ] Flr. [Fillable Field] 7.d. City or Town 7.e. State 7.f. ZIP Code 7.g. Province 7.h. Postal Code 7.i. Country	[Page 1] Part 1. Information About the Applicant or Petitioner If a business or organization is filing this appeal or motion, skip to Item Number 3. and do not complete Item Numbers 1. or 2. 1.a. Family Name (Last Name) 1.b. Given Name (First Name) 1.c. Middle Name 2. Date of Birth 3. Business or Organization Name (if applicable) 4. Alien Registration Number (A-Number, if any) 5. USCIS Online Account Number (if any) Mailing Address (Safe or Alternate Address, if applicable) 6.a. In Care Of Name (if any) 6.b. Street Number and Name 6.c. [ ] Apt. [ ] Ste. [ ] Flr. [Fillable Field] 6.d. City or Town 6.e. State 6.f. ZIP Code 6.g. Province 6.h. Postal Code 6.i. Country [deleted]
Page 2, Part 2. Information About the Appeal or Motion	[Page 2] Part 2. Information About the Appeal or Motion … I am filing a motion. 2.a. I am filing a motion to reopen. I have attached a brief and/or additional evidence. 2.b. I am filing a motion to reconsider. I have attached a brief. 2.c. I am filing a motion to reopen and a motion to reconsider. I have attached a brief and/or additional evidence. 3. Immigration Form That is the Subject of This Appeal or Motion (for example, Form I-140, I-360, I-129, I-485, I-601) (list only one form number) 4. Receipt Number for the Application, Petition, or Other Request (list only one Receipt Number) 5. Requested Immigrant or Nonimmigrant Classification (for example, H-1B, R-1, O-1, EB-1, EB-2) (if applicable) …	[Page 2] Part 2. Information About the Appeal or Motion … I am filing a motion. 2.a. I am filing a motion to reopen. I have attached a brief and/or additional evidence. 2.b. I am filing a motion to reconsider. I have attached a brief. 2.c. I am filing a motion to reopen and a motion to reconsider. I have attached a brief and/or additional evidence. 3. Immigration Form That is the Subject of This Appeal or Motion (for example, Form I-140, I-360, I-129, I-485, I-601, I-730, I-131) (list only one form number) 4. Receipt Number for the Application, Petition, or Other Request (list only one Receipt Number) 5. Requested Immigrant or Nonimmigrant Classification (for example, H-1B, R-1, O-1, EB-1, EB-2, RE-2, AS-2) (if applicable) …
Pages 3-4, Part 4. Applicant’s or Petitioner’s Statement, Contact Information, Certification, and Signature	[Page 3] Part 4. Applicant’s or Petitioner’s Statement, Contact Information, Certification, and Signature NOTE: Read the Penalties section of the Form I-290B Instructions before completing this part. Section A If you are filing an appeal or motion based on an application or petition filed by an individual (not a business or organization), complete this section: Applicant’s or Petitioner’s Statement NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2. 1.a. I can read and understand English, and I have read and understand every question and instruction on this form and my answer to every question. 1.b. The interpreter named in Part 5. read to me every question and instruction on this form, 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. prepared this form for me based only upon information I provided or authorized. Applicant’s or Petitioner’s Contact Information [new] 3. Daytime Telephone Number 4. Mobile Telephone Number (if any) 5. Email Address (if any) If an authorized signatory is completing Part 4., Section A., provide the following information: 6.a. Family Name (Last Name) 6.b. Given Name (First Name) 6.c. Middle Name 7. Title Applicant’s or Petitioner’s Certification Copies of any documents I have submitted are exact photocopies of unaltered, original documents, and I understand that USCIS may require that I submit original documents to USCIS at a later date. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for the immigration benefit that I seek. I further authorize release of information contained in this form, in supporting documents, and in my USCIS records, to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. I certify, under penalty of perjury, that I provided or authorized all of the information in my form. I understood all of the information contained in, and submitted with, my form, and that all of this information is complete, true, and correct. If filing this petition on behalf of someone else, I certify that I am authorized to do so by that person. Applicant’s or Petitioner’s Signature 8.a. Applicant’s or Petitioner’s Signature 8.b. Date of Signature (mm/dd/yyyy) Section B If you are filing an appeal or motion based on a petition filed by a business or organization (not an individual), complete this section: Petitioner’s Statement NOTE: Select the box for either Item Number 1.a. or 1.b. If applicable, select the box for Item Number 2. 1.a. ___ I can read and understand English, and I have read and understand every question and instruction on this form and my answer to every question. 1.b. ___ The interpreter named in Part 5. read to me every question and instruction on this form, and my answer to every question, in [Fillable Field], a language in which I am fluent, and I understood all of this information as interpreted. 2. ___ At my request, the preparer named in Part 6. prepared this form for me based only upon information I provided or authorized. [Page 4] Petitioner’s Contact Information Provide the following information about the petitioner’s authorized signatory. 3.a. Family Name (Last Name) 3.b. Given Name (First Name) 3.c. Middle Name 4. Title 5. Daytime Telephone Number 6. Mobile Telephone Number (if any) 7. Email Address (if any) Petitioner’s Certification Copies of any documents submitted are exact photocopies of unaltered, original documents, and I understand that, as the petitioner, I may be required to submit original documents to USCIS at a later date. I authorize the release of any information contained in this form, in supporting documents, and in the petitioning organization’s USCIS records, to USCIS or other entities and persons where necessary to determine eligibility for the immigration benefit sought or where authorized by law. I recognize the authority of USCIS to conduct audits of this form using publicly available open source information. I also recognize that any supporting evidence submitted in support of this form may be verified by USCIS through any means determined appropriate by USCIS, including but not limited to, on-site compliance reviews. If filing this form on behalf of an organization, I certify that I am authorized to do so by the organization. I certify, under penalty of perjury, that I provided or authorized all of the information in my form. I understood all of the information contained in, and submitted with, my appeal or motion, and all of this information is complete, true, and correct. Signature of Authorized Signatory 8.a. Petitioner’s Signature 8.b. Date of Signature (mm/dd/yyyy)	[Page 3] Part 4. Applicant’s or Petitioner’s Contact Information, Certification, and Signature [deleted] Applicant’s or Petitioner’s Contact Information Provide your daytime telephone number, mobile telephone number (if any), and email address (if any). 1. Applicant’s or Petitioner’s Daytime Telephone Number 2. Applicant’s or Petitioner’s Mobile Telephone Number (if any) 3. Applicant’s or Petitioner’s Email Address (if any) [deleted] Applicant’s or Petitioner’s Certification and Signature [deleted] I certify, under penalty of perjury, that I provided or authorized all of the responses and information contained in and submitted with my appeal or motion I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 5., understood, all of the responses and information contained in, and submitted with, my appeal/motion, and that all of the responses and the information are complete, true, and correct. Furthermore, I authorize the release of any information from any and all of my records that USCIS may need to determine my eligibility for an immigration request and to other entities and persons where necessary for the administration and enforcement of U.S. immigration law. [deleted] 4. Applicant’s or Petitioner’s Signature Date of Signature (mm/dd/yyyy) [deleted]
Pages 4-5, Part 5. Interpreter’s Contact Information, Certification, and Signature	[Page 4] Part 5. Interpreter’s Contact Information, Certification, and Signature Provide the following information about the interpreter. Interpreter’s Full Name 1.a. Interpreter’s Family Name (Last Name) 1.b. Interpreter’s Given Name (First Name) 2. Interpreter’s Business or Organization Name (if any) Interpreter’s Mailing Address 3.a. Street Number and Name 3.b. [ ] Apt. [ ] Ste. [ ] Flr. [fillable field] 3.c. City or Town 3.d. State 3.e. ZIP Code 3.f. Province 3.g. Postal Code 3.h. Country Interpreter’s Contact Information 4. Interpreter’s Daytime Telephone Number 5. Interpreter’s Mobile Telephone Number (if any) 6. Interpreter’s Email Address (if any) [Page 5] 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. in Section A or Section B, and I have read to this applicant or petitioner in the identified language every question and instruction on this form and his or her answer to every question. The applicant or petitioner informed me that he or she understands every instruction, question, and answer on the form, including the Applicant’s or Petitioner’s Certification, and has verified the accuracy of every answer. Interpreter’s Signature 7.a. Interpreter’s Signature 7.b. Date of Signature (mm/dd/yyyy)	[Page 4] Part 5. Interpreter’s Contact Information, Certification, and Signature [deleted] Interpreter’s Full Name 1. Interpreter’s Family Name (Last Name) Interpreter’s Given Name (First Name) 2. Interpreter’s Business or Organization Name [deleted] Interpreter’s Contact Information 3. Interpreter’s Daytime Telephone Number 4. Interpreter’s Mobile Telephone Number (if any) 5. Interpreter’s Email Address (if any) Interpreter’s Certification and Signature I certify, under penalty of perjury, that I am fluent in English and [Fillable language field], and I have interpreted every question on the appeal/motion, and Instructions and interpreted the applicant’s answers to the questions in that language, and the applicant/petitioner informed me that they understood every instruction, question, and answer on the appeal/motion. [deleted] 6. Interpreter’s Signature Date of Signature (mm/dd/yyyy)
Page 5, Part 6. Contact Information, Declaration, and Signature of the Person Preparing This Form, if Other Than the Applicant or Petitioner	[Page 5] Part 6. Contact Information, Declaration, and Signature of the Person Preparing This Form, if Other Than the Applicant or Petitioner Provide the following information about the preparer. Preparer’s Full Name 1.a. Preparer’s Family Name (Last Name) 1.b. Preparer’s Given Name (First Name) 2. Preparer’s Business or Organization Name (if any) Preparer’s Mailing Address 3.a. Street Number and Name 3.b. [ ] Apt. [ ] Ste. [ ] Flr. [fillable field] 3.c. City or Town 3.d. State 3.e. ZIP Code 3.f. Province 3.g. Postal Code 3.h. Country Preparer’s Contact Information 4. Preparer’s Daytime Telephone Number 5. Preparer’s Mobile Telephone Number (if any) 6. Preparer’s Email Address (if any) 7.a. I am not an attorney or accredited representative but have prepared this form on behalf of the applicant or petitioner and with the applicant’s or petitioner's consent.  7.b. I am an attorney or accredited representative and my representation of the applicant or petitioner in this case extends/does not extend beyond the preparation of this form. Preparer’s Certification By my signature, I certify, under penalty of perjury, that I prepared this form at the request of the applicant or petitioner. The applicant or petitioner then reviewed this completed form and informed me that he or she understands all of the information contained in, and submitted with, his or her form, including the Applicant’s or Petitioner’s Certification, and that all of this information is complete, true, and correct. I completed this form based only on information that the applicant or petitioner provided to me or authorized me to obtain or use. Preparer’s Signature 8.a. Preparer’s Signature 8.b. Date of Signature (mm/dd/yyyy)	[Page 5] Part 6. Contact Information, Declaration, and Signature of the Person Preparing This Appeal/Motion, if Other Than the Applicant or Petitioner [deleted] Preparer’s Full Name 1. Preparer’s Family Name (Last Name) Preparer’s Given Name (First Name) 2. Preparer’s Business or Organization Name (if any) [deleted] Preparer’s Contact Information 3. Preparer’s Daytime Telephone Number 4. Preparer’s Mobile Telephone Number (if any) 5. Preparer’s Email Address (if any) [deleted] Preparer’s Certification and Signature I certify, under penalty of perjury, that I prepared this appeal or motion for the applicant or petitioner at their request and with express consent and that all of the responses and information contained in and submitted with the appeal or motion are complete, true, and correct and reflects only information provided by the applicant or petitioner. The applicant or petitioner reviewed the responses and information and informed me that they understand the responses and information in or submitted with the appeal or motion. [deleted] 6. Preparer’s Signature Date of Signature (mm/dd/yyyy)

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