I-881 Form - Table of Changes

I881-011-FRM-TOC-LimitedREV-OMBReview-08152023.docx

Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100 (NACARA))

I-881 Form - Table of Changes

OMB: 1615-0072

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TABLE OF CHANGES – FORM

Form I-881, Application for Suspension of Deportation or Special Rule Cancellation of Removal (Pursuant to Section 203 of Public Law 105-100, NACARA)

OMB Number: 1615-0072

08/15/2023


Reason for Revision: Limited Revision

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

Page 12,


Part 11. Applicant’s Statement, Contact Information, Certification, and Signature

[Page 12]


Part 11. Applicant's Statement, Contact Information, Certification, and Signature


NOTE: Read the Penalties section of the Form I-881 Instructions before completing this section.


You must file Form I-881 while in the United States.


Applicant'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 application and my answer to every question.


1.b. The interpreter named in Part 12. 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 13., [fillable field], prepared this application for me based only upon information I provided or authorized.


Applicant's Contact Information


[new]



3. Applicant's Daytime Telephone Number

4. Applicant's Mobile Telephone Number (if any)

5. Applicant's Email Address (if any)


Applicant'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 furthermore authorize release of information contained in this application, 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 understand that USCIS will require me to appear for an appointment to take my biometrics (fingerprints, photograph, and/or signature) and, at that time, I will be required to sign an oath reaffirming that:


1) I reviewed and provided or authorized all of the information in my application;


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


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


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














Applicant's Signature


6.a. Applicant's Signature

6.b. Date of Signature (mm/dd/yyyy)


NOTE TO ALL APPLICANTS: If you do not completely fill out this application or fail to submit required documents listed in the Instructions, USCIS may deny your application.


[page 12]


Part 11. Applicant's Contact Information, Certification, and Signature


[deleted]





























Applicant’s Contact Information


Provide your daytime telephone number, mobile telephone number (if any), and email address (if any).

1. Applicant’s Daytime Telephone Number

2. Applicant’s Mobile Telephone Number (if any)

3. Applicant’s Email Address (if any)


Applicant’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 application, I read and understand or, if interpreted to me in a language in which I am fluent by the interpreter listed in Part 12., understood, all of the responses and information contained in, and submitted with, my application, 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 Signature

Date of Signature (mm/dd/yyyy)


[deleted]

Page 12-13,


Part 12. Interpreter’s Contact Information, Certification, and Signature

[Page 12]


Part 12. 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.

3.c. City or Town

3.d. State

3.e. ZIP Code

3.f. Province

3.g. Postal Code

3.h. Country




[page 13]


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)


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 11., 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 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 12]


Part 12. 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 application and Instructions and interpreted the applicant’s answers to the questions in that language, and the applicant informed me that they understood every instruction, question, and answer on the application.








[deleted]


6. Interpreter’s Signature

Date of Signature (mm/dd/yyyy)


Page 13-14,


Part 13. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant

[Page 13]


Part 13. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


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.

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)




[page 14]


Preparer's Statement


7.a. I am not an attorney or accredited representative but have prepared this application on behalf of the applicant and with the applicant's consent.


7.b. I am an attorney or accredited representative and my representation of the applicant in this case extends/does not extend beyond the preparation of this application.


NOTE: If you are an attorney or accredited representative, you may need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, with this application.


Preparer's Certification


By my signature, I certify, under penalty of perjury, that I prepared this application at the request of the applicant. The applicant then reviewed this completed application and informed me that he or she understands all of the information contained in, and submitted with, his or her application, including the Applicant's Certification, and that all of this information is complete, true, and correct. I completed this application based only on information that the applicant 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 13]


Part 13. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


[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



[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 application for the applicant at their request and with express consent and that all of the responses and information contained in and submitted with the application are complete, true, and correct and reflects only information provided by the applicant. The applicant reviewed the responses and information and informed me that they understand the responses and information in or submitted with the application.


[deleted]


6. Preparer’s Signature

Date of Signature (mm/dd/yyyy)



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorHallstrom, Samantha M
File Modified0000-00-00
File Created2023-08-29

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