I-192 Instructions - Table of Changes

I192-016-INS-TOC-REV-30Day-08142023.docx

Application for Advance Permission to Enter as a 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 Instructions - Table of Changes

OMB: 1615-0017

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TABLE OF CHANGES – INSTRUCTIONS

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

OMB Number: 1615-0017

08/14/2023


Reason for Revision: REV

Phase: 30-Day


Legend for Proposed Text:

  • Black font = Current text

  • Red font = Changes


Expires 10/31/2023

Edition Date 07/20/2021



Current Page Number and Section

Current Text

Proposed Text

Page 1, What Is the Purpose of Form I-192?

[Page 1]


What Is the Purpose of Form I-192?


Use this application if you are inadmissible and are seeking advance permission to temporarily enter the United States as a nonimmigrant.





You can find grounds of inadmissibility in the Immigration and Nationality Act (INA) section 212(a). You can find the statutory and regulatory basis for this application in INA section 212(d)(3)(A)(ii), 8 CFR section 212.4, INA section 212(d)(13) and (14), 8 CFR 212.16 and 17, and 8 CFR 214.11 and 214.14 for T nonimmigrant status applicants and U nonimmigrant status petitioners.


[Page 1]

What Is the Purpose of Form I-192?

Use this application if you are inadmissible and are seeking advance permission to temporarily enter the United States as a nonimmigrant, or you are in the United States as a T nonimmigrant status applicant or U nonimmigrant status petitioner seeking to waive your inadmissibility.

You can find grounds of inadmissibility in the Immigration and Nationality Act (INA) section 212(a). You can find the statutory and regulatory basis for this application in INA section 212(d)(3)(A)(ii) and 212(d)(13), 8 CFR section 212.4, 212.16, 212.17, 214.11, and 214.14 for T nonimmigrant status applicants and U nonimmigrant status petitioners.

Page 1, Who Should File Form I-192?

[Page 1]


Who Should File Form I-192?


File Form I-192 if you are an inadmissible foreign national in one of the following categories:


1. Inadmissible nonimmigrant already in possession of appropriate documents;




2. Applicant for principal or derivative T nonimmigrant status (Form I-914 or I-914, Supplement A); or




3. Petitioner for principal or derivative U nonimmigrant status (Form I-918 or I-918, Supplement A).


NOTE: If you are planning to seek admission under the Visa Waiver Program (VWP) under INA section 217, you should NOT file this application. Aliens from VWP countries who are inadmissible are not eligible for VWP admission. You must apply instead for a nonimmigrant visa at a U.S. Embassy or U.S. Consulate for authorization to travel. You should contact the appropriate U.S. Embassy or U.S. Consulate if you have any questions regarding your eligibility for admission under the VWP or regarding a waiver of inadmissibility in connection with an application for nonimmigrant visa.










NOTE: If you need a visa to come to the United States as a nonimmigrant (other than as a T or U nonimmigrant) do not file this application. You should contact the appropriate U.S. Embassy or U.S. Consulate if you have any questions regarding your eligibility for waiver of inadmissibility in connection with an application for a nonimmigrant visa.


NOTE: If you are seeking T nonimmigrant status or U nonimmigrant status, and you are only inadmissible under INA section 212(a)(4) (public charge), you do NOT need to file this application because you are exempt from this ground of inadmissibility.


[Page 1]

Who Should File Form I-192?

File Form I-192 if you are an inadmissible foreign national in one of the following categories:

1. Applicant for principal or derivative T nonimmigrant status (Form I-914 or I-914, Supplement A);

2. Petitioner for principal or derivative U nonimmigrant status (Form I-918 or I-918, Supplement A);


or


3. Inadmissible nonimmigrant already possessing appropriate documents.



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NOTE: If you are seeking T nonimmigrant status or U nonimmigrant status, and you are only inadmissible under INA section 212(a)(4) (public charge), you do NOT need to file this application because you are exempt from this ground of inadmissibility.

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Pages 1-3, General Instructions

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General Instructions


U.S. Citizenship and Immigration Services (USCIS) provides forms free of charge through the USCIS website. In order to view, print, or fill out our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not have Internet access, you may call the USCIS National Customer Service Center at 1-800-375-5283 and ask that we mail a form to you. For TTY (deaf or hard of hearing) call: 1-800-767-1833.


Signature. Each application must be properly signed and filed. For all signatures on this application, USCIS will not accept a stamped or typewritten name in place of a signature. If you are under 14 years of age, your parent or legal guardian may sign the application on your behalf. A legal guardian may also sign for a mentally incompetent person.








Validity of Signatures. USCIS will consider a photocopied, faxed, or scanned copy of the original, handwritten signature valid for filing purposes. The photocopy, fax, or scan must be of the original document containing the handwritten, ink signature.



[Page 2]


Filing Fee. Each application must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section of these Instructions.)







Biometric Services Fee. If you file this application with USCIS, you do not need to include a biometric services fee at the time you submit your application. If you are later notified that you must submit biometrics, you will receive a biometric services appointment notice with instructions on how to submit the additional biometric services fee. If you file this application with U.S. Customs and Border Protection (CBP), please check with CBP to determine if and when you must submit a biometric services fee.

Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the What Evidence Must You Submit and/or Specific Instructions sections of these Instructions.

Evidence. At the time of filing, you must submit all evidence and supporting documentation listed in the What Evidence Must You Submit and/or Specific Instructions sections of these Instructions.

Biometric Services Appointment


1. For Applicants Filing Form I-192 with USCIS. USCIS may require that you appear for an interview or provide biometrics (for example, fingerprints, photograph, and/or a signature) at any time to verify your identity, obtain additional information, and conduct background and security checks, including a check of criminal history records maintained by the Federal Bureau of Investigation (FBI), before making a decision on your application or petition. After USCIS receives your application and ensures it is complete, we will inform you in writing if you need to attend a biometric services appointment. If an appointment is necessary, the notice will provide you the location of your local or designated USCIS Application Support Center (ASC) and the date and time of your appointment or, if you are currently overseas, instruct you to contact a U.S. Embassy, U.S. Consulate, or USCIS office outside the United States to set up an appointment.


If you are required to provide biometrics, at your appointment you must sign an oath reaffirming that:


A. You provided or authorized all information in the application;


B. You reviewed and understood all of the information contained in, and submitted with, your application; and


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


If you fail to attend your biometric services appointment, USCIS may deny your application.


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2. For Applicants Filing Form I-192 with CBP. Contact CBP to determine where and when to attend a biometric services appointment for the purpose of filing your Form I-192.


Copies. You should submit legible photocopies of documents requested, unless the Instructions specifically state that you must submit an original document. USCIS or CBP may request an original document at the time of filing or at any time during processing of an application or petition. If USCIS requests an original document from you, it will be returned to you after USCIS determines it no longer needs your original.


NOTE: If you submit original documents when not required or requested by USCIS, your original documents may be immediately destroyed after we receive them.


Translations. If you submit a document with information in a foreign language, you must also submit a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that he or she is competent to translate from the foreign language into English. The certification must include the translator’s signature. The Department of Homeland Security (DHS) recommends the certification contain the translator’s printed name, the signature date, and the translator’s contact information.


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How To Fill Out Form I-192


1. Type or print legibly in black ink.



[Page 3]


2. If you need extra space to complete any item within this application, use the space provided in Part 8. Additional Information or attach a separate sheet of paper. Type or print your name and Alien Registration Number (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.


3. Answer all questions fully and accurately. If a question does not apply to you (for example, if you have never been married and the question asks, “Provide the name of your current spouse”), type or print “N/A” unless otherwise directed. If your answer to a question which requires a numeric response is zero or none (for example, “How many children do you have” or “How many times have you departed the United States”), type or print “None” unless otherwise directed.


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[Page 1]


General Instructions


We provide free forms through the USCIS website. To view, print, or complete our forms, you should use the latest version of Adobe Reader, which you can download for free at http://get.adobe.com/reader/. If you do not have internet access, you may call the USCIS Contact Center at 800-375-5283 (TTY 800-767-1833) and ask that we mail a form to you.






Signature. You (or your signing authority) must properly complete your application. USCIS will not accept a stamped or typewritten name in place of any signature on this application. If you are under 14 years of age, your parent or legal guardian may sign the application on your behalf. A legal guardian may also sign for a mentally incompetent person. If your application is not signed, or if the signature is not valid, we will reject your application. See 8 CFR 103.2(a)(7)(ii)(A). If USCIS accepts an application for adjudication and determines that it has a deficient signature, USCIS will deny the application.


Validity of Signatures. USCIS will consider a photocopied, faxed, or scanned copy of an original handwritten signature as valid for filing purposes. The photocopy, fax, or scan must be of the original document containing the handwritten, ink signature.





Filing Fee. You must pay the appropriate filing fee for each application you submit. (See the What Is the Filing Fee section of these Instructions for more information, including eligibility for fee waivers).

Evidence. When you file your application, you must submit all evidence and supporting documentation listed in the What Evidence Must You Submit and/or Specific Instructions sections of these Instructions.

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Biometric Services Appointment


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We recommend that you review your copy of your completed application before you go to your biometric services appointment at a USCIS ASC.


At your appointment, USCIS will permit you to complete the application process only if you are able to confirm, under penalty of perjury, that all of the information in your application is complete, true, and correct. If you are not able to make that attestation in good faith at that time, USCIS will require you to return for another appointment.

For Applicants Filing Form I-192 with CBP. Contact CBP to determine where and when to attend a biometric services appointment for the purpose of filing your Form I-192.

Copies. You should submit legible photocopies of requested documents unless the Instructions specifically instruct you to submit an original document. USCIS or CBP may request an original document at any time during the adjudication process. If we request an original document from you, we will return it to you after USCIS determines it no longer needs the original.




NOTE: If you submit original documents when they are not required or requested, USCIS may destroy them after we receive them.

Translations. If you submit a document with information in a foreign language, you must also submit a full English translation. The translator must sign a certification that the English language translation is complete and accurate, and that they are competent to translate from the foreign language into English. The certification must also include their signature, printed name, the signature date, and their contact information.




USCIS Contact Center. For additional information on the form and instructions about where to file, change of address, and other questions, visit the USCIS Contact Center at www.uscis.gov/contactcenter or call at 800-375-5283 (TTY 800-767-1833). The USCIS Contact Center provides information in English and Spanish.


How To Complete Form I-192

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2. If you need extra space to complete any item within this application, use the space provided in Part 6. Additional Information or attach a separate sheet of paper. Type or print your name and Alien Registration Number (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.















4. USCIS Online Account Number.  Providing the applicant’s unique USCIS Online Account Number (OAN) helps them manage their online account.  You have an Online Account Number if you previously filed an application, petition, or request online or filed a benefit request by mail and received a receipt number that begins with IOE.  If you filed a form online, you can find your OAN in your USCIS Online Account profile.  If you filed a form by mail and received a receipt number that begins with IOE, you can find your OAN at the top of the USCIS Account Access Notice we sent you.  The OAN is not the same as an A-Number.  If you do not have a receipt number beginning with IOE, you do not have an OAN.


Pages 3-5, Specific Instructions

[Page 3]


Specific Instructions


Part 1. Application Type


Item Numbers 1. - 2. Indicate the basis for your application by selecting the box next to the appropriate category.


Part 2. Information About You


In this section, provide the following information about yourself.


Item Numbers 1.a. - 1.c. Your Full Name. Provide your full legal name in the spaces provided.


Item Numbers 2.a. - 3.c. Other Names Used. Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 8. Additional Information.


Item Number 4. Alien Registration Number (A-Number) (if any). Provide your A-Number. Your A-Number is the number used to identify your immigration records. You can find this number on documents you received from USCIS, U.S. Immigration and Customs Enforcement (ICE), or the U.S. Department of Justice (DOJ) Executive Office for Immigration Review (EOIR) during immigration proceedings in court.


Item Number 5. USCIS Online Account Number (if any). If you have previously filed an application or petition using the USCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the USCIS Online Account Number you were issued by the system. You can find your USCIS Online Account Number by logging in to your account and going to the profile page. If you previously filed certain applications or petitions on a paper form through a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice issuing you a USCIS Online Account Number. You may find your USCIS Online Account Number at the top of the notice. If you were issued a USCIS Online Account Number, enter it in the space provided. The USCIS Online Account Number is not the same as an A-Number.


Item Number 6. Date of Birth. Provide your date of birth in mm/dd/yyyy format.
















Item Number 7. Gender. Indicate whether you are male or female.




Item Numbers 8.a. - 8.c. Place of Birth. Provide the city or town, state or province, and country where you were born in the spaces provided.


Item Number 9. Country of Citizenship or Nationality. Provide the name of the country of which you are a citizen or which is your country of nationality. This is not necessarily the country where you were born. If you do not have citizenship in any country, type or print “stateless” and provide an explanation in the space provided in Part 8. Additional Information.


Item Numbers 10.a. - 10.i. Mailing Address. Provide the address where you would like to receive written correspondence regarding your application (including a PO Box, if applicable). If you are filing with CBP, you must list your complete and current address on all forms and correspondence you send to CBP.









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Item Numbers 11.a. - 11.j. Safe Mailing Address. If you do not feel safe receiving correspondence regarding this application at your home address, provide a safe mailing address in Part 2., Item Numbers 11.a. - 11.j. This address may be a PO Box, the address of a friend, your attorney, a community-based organization that is helping you, or any other address where you can safely and punctually receive mail. If a safe mailing address is not provided in Part 2., Item Numbers 11.a. - 11.j. USCIS may use the address of your preparer, if any.


Item Numbers 12.a. - 19.b. 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.















































Item Numbers 20.a. - 25. Travel Information. Indicate where you intend to enter the United States. Provide your planned Port of Entry (POE) and the city and U.S. state where the POE is located. Also describe the purpose for your trip to the United States and how long you intend to remain in the United States.


NOTE: If you are an applicant for T nonimmigrant status or a petitioner for U nonimmigrant status and are in the United States, you do not need to answer Item Numbers 20.a. - 25.


Item Numbers 26. - 34. Immigration and Criminal History. Provide answers for all the questions in this section. If an answer requires an explanation or you would like to provide USCIS additional information that you believe is relevant to the response, use the space provided in Part 8. Additional Information.


Part 3. Biographic Information


Provide the biographic information requested in Part 3., Item Numbers 1. - 6. Providing this information as part of your application may reduce the time you spend at your USCIS ASC appointment as described in the Biometric Services Appointment section of these Instructions.


Item Numbers 1. - 2. Ethnicity and Race. Select the boxes that describe your ethnicity and race.


Categories and Definitions for Ethnicity and Race


1. Hispanic or Latino. A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. (NOTE: This category is only included under Ethnicity in Part 3., Item Number 1.)


2. American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.


3. Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.


4. Black or African American. A person having origins in any of the black racial groups of Africa.


5. Native Hawaiian or Other Pacific Islander. A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.


6. White. A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.


Item Number 3. Height. Select the values that best match your height in feet and inches. For example, if you are five feet and nine inches, select “5” for feet and “09” for inches. Do not enter your height in meters or centimeters.


Item Number 4. Weight. Enter your weight in pounds. If you do not know your weight or need to enter a weight under 30 pounds or over 699 pounds, enter “000.” Do not enter your weight in kilograms.


Item Number 5. Eye Color. Select the box that best describes the color of your eyes.


Item Number 6. Hair Color. Select the box that best describes the color of your hair.



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Part 4. Other Information About You


Item Numbers 1. - 8.b. 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.


Item Numbers 9.a. - 22. Information About Your Parents. Provide the information requested about your mother and father.


Item Numbers 23. - 36.c. Information About Your Marital History. If you have ever been married, provide information about your current marriage and any previous marriages. If you have had more than one previous marriage, use the space provided in Part 8. Additional Information to provide the information requested.


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


Item Numbers 1.a. - 6.b. 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.


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


Item Numbers 1.a. - 7.b. If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section; provide his or her name, the name and address of his or her business or organization (if any), his or her daytime telephone number, his or her mobile telephone number (if any), and his or her email address (if any). The interpreter must sign and date the application.


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


Item Numbers 1.a. - 8.b. This section must contain the signature of the person who completed your application, if other than you, the applicant. If the same individual acted as your interpreter and your preparer, that person should complete both Part 6. and Part 7. If the person who completed this application is associated with a business or organization, that person should complete the business or organization name and address information. Anyone who helped you complete this application MUST sign and date the application. A stamped or typewritten name in place of a signature is not acceptable. If the person who helped you prepare your application is an attorney or accredited representative, he or she may also need to submit a completed Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative, or G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States, along with your application.


Part 8. Additional Information


Item Numbers 1.a. - 7.d. If you need extra space to provide any additional information within this application, use the space provided in Part 8. Additional Information. If you need more space than what is provided in Part 8., you may make copies of Part 8. to complete and file with your 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.


We recommend that you print or save a copy of your completed application to review in the future and for your records. We recommend that you review your copy of your completed application before you go to your biometric services appointment at a USCIS ASC. At your appointment, USCIS will permit you to complete the application process only if you are able to confirm, under penalty of perjury, that all of the information in your application is complete, true, and correct. If you are not able to make that attestation in good faith at that time, USCIS will require you to return for another appointment.




Specific Instructions


Part 1. Application Type


Item Number 1. Indicate the basis for your application by selecting the box next to the appropriate category.


Part 2. Information About You


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Item Number 1. Your Full Name. Provide your full legal name in the spaces provided.

Item Number 2. Other Names Used. Provide all other names you have ever used, including aliases, maiden name, and nicknames. If you need extra space to complete this section, use the space provided in Part 6. Additional Information.

Item Number 3. Alien Registration Number (A-Number) (if any). Provide your A-Number. We use your A-Number to identify your immigration records. It begins with an “A” and can be found on correspondence you have received from the Department of Homeland Security (DHS) or USCIS. If you do not have an A-Number, type or print “N/A.”



Item Number 4. USCIS Online Account Number (if any). If you have previously filed an application or petition using the myUSCIS online filing system (previously called USCIS Electronic Immigration System (USCIS ELIS)), provide the USCIS OAN you were issued by the system. You can find your USCIS OAN by logging in to your account and going to the profile page. If you previously filed certain applications or petitions on a paper form through a USCIS Lockbox facility, you may have received a USCIS Online Account Access Notice issuing you a USCIS OAN. You may find your USCIS OAN at the top of the notice. If you were issued a USCIS OAN, enter it in the space provided. The USCIS OAN is not the same as an A-Number.




Item Number 5. Date of Birth. Provide your date of birth in mm/dd/yyyy format.

Item Number 6. Place of Birth. Provide the city or town, state or province, and country where you were born in the spaces provided.

Item Number 7. Country of Citizenship or Nationality. Provide the name of the country where you are a citizen and/or national. This is not necessarily the country where you were born. If you do not have citizenship in any country, type or print “stateless” and provide an explanation in Part 6. Additional Information.

Item Number 8. Gender. Indicate how you identify. Your selection will be reflected on secure documents if we approve your application.

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Item Number 9. Mailing Address (Safe Address, if applicable). You must provide a valid mailing address in the United States in Part 2. You may list a valid U.S. residence, APO, or commercial address. You may also list a U.S. Post Office address (P.O. Box) if that is how you receive your mail. If your mail is sent to someone other than yourself, please include an “In Care Of Name” as part of your mailing address. If your U.S. mailing address is in a U.S. territory and it contains an urbanization name, list the urbanization name in the “In Care Of Name” space provided.

NOTE: If you have a pending or approved application as a victim of trafficking (T nonimmigrant), or petition as a victim of qualifying criminal activity (U nonimmigrant), and you do not feel safe receiving mail about this application at your physical address, provide a safe mailing address. The safe address may be a P.O. Box or the address of a friend, your attorney or accredited representative, a community-based organization that is helping you, or any other address where you can safely and timely receive mail.




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Item Numbers 10. - 11. 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 6. Additional Information.





Item Numbers 12. - 25. Information About Your Marital History. If you have ever been married, provide information about your current marriage and any previous marriages. If you have had more than one previous marriage, use the space provided in Part 6. Additional Information to provide the information requested.

Item Numbers 26. - 36. Immigration and Criminal History. Provide answers for all the questions in this section. If an answer requires an explanation or you would like to provide USCIS additional information that you believe is relevant to the response, use the space provided in Part 6. Additional Information.

Item Numbers 37. - 43. Travel Information. Indicate where you intend to enter the United States. Provide your planned Port of Entry (POE) and the city and U.S. state where the POE is located. Also describe the purpose for your trip to the United States and how long you intend to remain in the United States.

NOTE: If you are an applicant for T nonimmigrant status or a petitioner for U nonimmigrant status and are in the United States, you do not need to answer Item Numbers 37. - 43.

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Item Numbers 44. - 45. 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 6. Additional Information.

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Part 3. Applicant’s Statement, Contact Information, Certification, and Signature


You must sign and date your application and, if applicable, provide your daytime telephone number, mobile telephone number, and email address. The signature of a parent or legal guardian, if applicable, is acceptable. A stamped or typewritten name in place of a signature is not acceptable. This certification does not affect the confidentiality protections you are entitled to under 8 U.S.C. section 1367(a)(2).






NOTE: Special protections (described at 8 U.S.C. section 1367) apply to applicants for T nonimmigrant status and petitioners for U nonimmigrant status, including any qualifying family members. The first form of protection under this statute is a prohibition on adverse determinations based on information provided solely by the trafficker or perpetrator of the qualifying criminal activity and other prohibited sources. The second form of protection under this statute is a prohibition on disclosure of any information about the applicant or petitioner to third parties, except in certain very limited circumstances.


Part 4. Interpreter’s Contact Information, Certification, and Signature


If you used anyone as an interpreter to read the Instructions and questions on this application to you in a language in which you are fluent, the interpreter must fill out this section, provide their name, the name and address of their business or organization (if any), their daytime telephone number, their mobile telephone number (if any), and their email address (if any). The interpreter must sign and date the application.



Part 5. Contact Information, Declaration, and Signature of the Person Preparing this Application, if Other Than the Applicant


The person who completed your application, if other than the applicant must sign this section and complete both Part 4. and Part 5. A stamped or typewritten name in place of a signature is not acceptable.





















Part 6. Additional Information

If you need extra space to provide any additional information within this application, use the space provided in Part 6. Additional Information. If you need more space than what is provided in Part 6., you may make copies of Part 6. to complete and file with your 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.

We recommend that you print or save a copy of your completed application for your records. We recommend that you review your copy of your completed application before you go to your biometric services appointment at a USCIS ASC. At your appointment, USCIS will allow you to complete the application process only if you are able to confirm, under penalty of perjury, that all of the information in your application is complete, true, and correct. If you are not able to make that attestation in good faith at that time, we will require you to return for another appointment.


Pages 6-7, What Evidence Must You Submit?

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What Evidence Must You Submit?


Read the instructions carefully. Depending on whether you submit the application with USCIS or with CBP, you may have to submit additional information.


You must submit all evidence requested in these Instructions with your application. If you fail to submit required evidence, USCIS or CBP may reject or deny your application for failure to submit requested evidence or supporting documents in accordance with 8 CFR 103.2(b)(1) and these Instructions.


1. General Information Required to Complete Form I-192


A. Inadmissible on Foreign Policy or National Security Grounds under INA section 212(a)(3)


If you are inadmissible under any provision of INA section 212(a)(3)(A)(i)(II), (B), (E)(iii), or (F), submit a written statement with your application, signed under penalty of perjury under U.S. law. The written statement should explain in detail why you are inadmissible and why you believe you should be admitted.


NOTE: Do not file this application if you are seeking advance permission under INA section 212(d)(3)(A), but are inadmissible under INA section 212(a)(3)(A)(i)(I), INA section 212(a)(3)(A)(ii), INA section 212(a)(3)(A)(iii), INA section 212(a)(3)(C), INA section 212(a)(3)(E)(i), or INA section 212(a)(3)(E)(ii). INA section 212(d)(3)(A) does not permit the nonimmigrant admission of a foreign national inadmissible on one of these grounds.

NOTE: Do not file this application if you are an applicant for T nonimmigrant status seeking a waiver under INA section 212(d)(13) and you are inadmissible under INA sections 212(a)(3), 212(a)(10)(C), or 212(a)(10)(E). INA section 212(d)(13)(B)(ii) does not permit the waiver of these grounds of inadmissibility for T nonimmigrants.


NOTE: Do not file this application if you are seeking U nonimmigrant status and you are inadmissible under INA section 212(a)(3)(E). INA section 212(d)(14) does not permit the waiver of this ground of inadmissibility.


NOTE: Do not file this application if you are inadmissible only under INA section 212(a)(3)(D) for being a member of a Communist or other totalitarian party, since this inadmissibility ground applies to immigrants, and not nonimmigrants.


NOTE: If you are inadmissible under INA section 212(a)(9)(A) or 212(a)(9)(C)(i)(II), you may also need to file Form I-212, Application for Permission to Reapply for Admission into the United States After Deportation or Removal.


B. Inadmissible Because of Health-Related Grounds of Inadmissibility Under INA section 212(a)(1)


If you file this application because you are inadmissible because of health-related grounds of inadmissibility, you must describe the health-related grounds in detail.


If you are seeking admission to the United States for the treatment of a medical condition, you must attach a written statement establishing:


(1) That satisfactory treatment cannot be obtained outside the United States;


(2) That arrangements for treatment have been made, including where and from whom or what institution treatment will be received;


(3) What financial arrangements for payment of expenses (incurred in connection with the treatment) have been made; and


(4) That a bond will be available, if required by the Secretary of Homeland Security.


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C. Inadmissible Because of Criminal Convictions and Related Grounds under INA section 212(a)(2)


If you are filing this application because you have been convicted of one or more crimes anywhere in the world, your application must include a statement, signed by you under penalty of perjury under U.S. law, specifying:



[Page 7]


(1) Name each of the crimes and criminal statutes for which you were convicted, and the country in which you were convicted;


(2) Dates and places of the commission of the crimes;


(3) Dates and places of conviction (including the name of the court); and


(4) Sentences you received, or any other judgments from the court related to the crimes.


List each crime separately.


For each conviction, you must submit the official record of each conviction and all court dispositions, as well as any other documents relating to the commutation of sentence, parole, probation, or pardon. If an official record is not available then you may submit an official letter from the court of jurisdiction stating the reason why an official record is not available.

These records must be in English, or an English translation must be included. The translator must certify that he or she is competent to translate from the foreign language to English and that the translation is accurate.



D. For All Other Grounds of Inadmissibility under INA section 212(a)


If you are inadmissible under any ground not listed above, you must provide a statement signed by you under penalty of perjury that specifies the applicable ground of inadmissibility, the factual basis for your inadmissibility, and reasons for claiming that you should be granted advance permission to enter the United States.



2. Required Additional Information When Filing Form I-192 With CBP


If you file this application with CBP, you must submit the following additional documentation.


A. Proof of citizenship and identity, such as a passport, citizenship card with photograph, naturalization certificate, or birth certificate. Note that a driver’s license is not considered proof of citizenship but may accompany a copy of another document. Copies of these documents are acceptable.


B. If you have ever used a name other than your full legal name as provided on this application, you must list it in Part 2., Item Numbers 2.a. - 3.c. on this application. Include any names from previous marriages. Evidence of any legal name changes, such as marriage certificates, or divorce decrees must be included. Copies are acceptable.


C. Each application must contain your official police record or evidence that no record exists from your country of residence or nationality. This record is valid for 15 months from the date of issuance for submission with your Form I-192.


D. NOTE to Canadian Applicants: You can obtain the information noted above from the Royal Canadian Mounted Police (RCMP) by submitting your fingerprints on Form C-216C. The returned Civil Product and any accompanying records must be dated and endorsed by the RCMP within 15 months of submission with your Form I-192. For instructions, addresses, and payment information, visit the RCMP website at: www.rcmp-grc.gc.ca/.


E. If you retained an attorney to file the application, counsel may be obliged to complete Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States.


F. Recommended Supporting Documentation:


(1) Evidence and/or a written account demonstrating rehabilitation and character reformation related to your being inadmissible. The focus of such evidence should include, but is not limited to, targeted counseling, rehabilitation programs attended/completed, achievements in community service, or other relevant, credible information showing rehabilitation and character reformation; and


(2) A copy of any previously issued Form I-192 decisions (favorable or otherwise).




What Evidence Must You Submit?



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You must submit all evidence requested in these Instructions with your application. If you fail to submit required evidence, USCIS or CBP may reject or deny your application in accordance with 8 CFR 103.2(b)(1) and these Instructions.




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NOTE: Do not file this application if you are seeking advance permission under INA section 212(d)(3)(A), but are inadmissible under INA sections 212(a)(3)(A)(i)(I), 212(a)(3)(A)(ii), 212(a)(3)(A)(iii), 212(a)(3)(C), 212(a)(3)(E)(i), or 212(a)(3)(E)(ii). INA section 212(d)(3)(A) does not permit the nonimmigrant admission of a foreign national who is inadmissible on one of these grounds.



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NOTE: Do not file this application if you are inadmissible only under INA section 212(a)(3)(D) for being a member of a Communist or other totalitarian party, as this inadmissibility ground does not apply to nonimmigrants.

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NOTE: Do not file this application if you are inadmissible only under INA section 212(a)(1)(A)(ii) for failure to present documentation of having received vaccination against vaccine-preventable disease, as this inadmissibility ground does not apply to nonimmigrants.


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List each crime separately.

For each conviction, you must submit the official record of each conviction and all court dispositions, as well as any other documents relating to the commutation of sentence, parole, probation, or pardon. If an official record is not available then you may submit an official letter from the court of jurisdiction stating the reason an official record is not available.

These records must be in English, or an English translation must be included. The translator must certify that they are competent to translate from the foreign language to English and that the translation is accurate.

D. For All Other Grounds of Inadmissibility under INA section 212(a)

If you are inadmissible under any ground not listed above, you must provide a statement signed by you under penalty of perjury that specifies the applicable ground of inadmissibility, the factual basis for your inadmissibility, and reasons for claiming that you should be granted a waiver or advance permission to enter the United States.


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B. If you have ever used a name other than your full legal name as provided on this application, you must list it in Part 2., Item Number 2. Include any names from previous marriages. Evidence of any legal name changes, such as marriage certificates, or divorce decrees must be included. Copies are acceptable.




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E. If you retained an attorney to file the application, counsel may be obliged to complete Form G-28, Notice of Entry of Appearance as Attorney or Accredited Representative or Form G-28I, Notice of Entry of Appearance as Attorney In Matters Outside the Geographical Confines of the United States.


F. Recommended Supporting Documentation:


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Pages 8-9, What Is the Filing Fee?

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What Is the Filing Fee?


The filing fee for Form I-192 depends on the agency that makes the decision on your application.


1. If filing with USCIS, the filing fee for Form I-192 is $930.


2. If filing with CBP, the filing fee for Form I-192 is $585.


A fee waiver request will be considered in accordance with 8 CFR 103.7(c) for the following individuals:


1. An applicant for T nonimmigrant status; and


2. A petitioner for U nonimmigrant status.


NOTE: The filing fee is not refundable, regardless of any action USCIS takes on this application. DO NOT MAIL CASH. You must submit all fees in the exact amount.


If you are applying to USCIS, use the following guidelines when you prepare your check or money order for the Form I-192 filing fee:


1. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S. currency; and


2. Make the check or money order payable to U.S. Department of Homeland Security.


3. NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”


4. If you live outside the United States, contact the nearest U.S. Embassy or U.S. Consulate for instructions on the method of payment.








Notice to Those Paying by Check. If you send USCIS a check, we will convert it into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it on your regular account statement.

You will not receive your original check back. We will destroy your original check, but will keep a copy of it. If USCIS cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your check is returned as unpayable, we will re-submit the payment to the financial institution one time. If the check is returned as unpayable a second time, we will reject your application and charge you a returned check fee.



If you are applying to CBP, use the following guidelines when you prepare your check or money order for the Form I-192 filing fee:


1. The check or money order must be made payable to Customs and Border Protection. The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S. currency. Certain CBP-designated Port of Entry may accept payment in the form of cash or credit cards.


We recommend that you contact the CBP Port of Entry where you intend to be processed for payment instructions. Please visit the CBP website at www.cbp.gov (go to the search box and type “Form I-192,” “I-192,” “192,” or “waiver”).


2. Special Instructions for Citizens of Palau, the Federated States of Micronesia, or the Marshall Islands. You may contact the nearest U.S. Embassy or U.S. Consulate to receive payment instructions. You may also receive instructions by emailing the CBP/Admissibility Review Office (ARO) at: [email protected].



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How To Check If The Fees Are Correct


Form I-192’s filing fee is current as of the edition date in the lower left corner of this page. However, because USCIS fees change periodically, you can verify that the fee is correct by following one of the steps below.


1. Visit the USCIS website at www.uscis.gov, select “FORMS,” and check the appropriate fee; or


2. Call the USCIS National Customer Service Center at 1-800-375-5283 and ask for fee information. For TTY (deaf or hard of hearing) call: 1-800-767-1833.


Fee Waiver - USCIS Applications Only


You may be eligible for a fee waiver under 8 CFR 103.7(c). If you believe you are eligible for a fee waiver, complete Form I-912, Request for Fee Waiver, and submit it and any required evidence of your inability to pay the filing fee with this application. You can review the fee waiver guidance at www.uscis.gov/feewaiver.




What Is the Filing Fee?


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If you are applying to USCIS, use the following guidelines when you prepare your check or money order for the Form I-192 filing fee:

  • The check or money order must be drawn on a bank or other financial institution located in the United States and must be payable in U.S. currency; and

  • Make the check or money order payable to U.S. Department of Homeland Security.

NOTE: Spell out U.S. Department of Homeland Security; do not use the initials “USDHS” or “DHS.”

3. If you are seeking T or U nonimmigrant status and are located outside of the United States, you must pay the filing fee or submit the fee waiver to the appropriate address as listed in “Where to File”.

For all other matters: If you live outside the United States, contact the nearest U.S. Embassy or U.S. Consulate for instructions on the method of payment.

Notice to Those Paying by Check. If you send USCIS a check, we will convert it into an electronic funds transfer (EFT). This means we will copy your check and use the account information on it to electronically debit your account for the amount of the check. The debit from your account will usually take 24 hours and your bank will show it on your regular account statement.


We will destroy your original check, but will keep a copy of it. If USCIS cannot process the EFT for technical reasons, you authorize us to process the copy in place of your original check. If your check is returned as unpayable, we will re-submit the payment to the financial institution one time. If the check is returned as unpayable a second time, we will reject your application and charge you a returned check fee.




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2. Special Instructions for Citizens of Palau, the Federated States of Micronesia, or the Marshall Islands. You may contact the nearest U.S. Embassy or U.S. Consulate to receive payment instructions. You may also receive instructions by emailing the CBP/Admissibility Review Office (ARO) at: [email protected].





How To Check If The Fees Are Correct


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2. Visit www.uscis.gov/contactcenter or call the USCIS Contact Center to get answers to your questions and connect with a live USCIS representative.

Fee Waiver - USCIS Applications Only

You may be eligible for a fee waiver under 8 CFR 103.7(c). If you believe you are eligible for a fee waiver, complete Form I-912, Request for Fee Waiver (or a written request), and submit it and any required evidence of your inability to pay the filing fee with this application. You can review the fee waiver guidance at www.uscis.gov/feewaiver.

Page 9, Where to File?

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Where to File?


You may file this application with USCIS only if you are applying for T nonimmigrant status (Form I-914) or petitioning for U nonimmigrant status (Form I-918). In all other cases, you must file this application with CBP.


If you are filing your application with USCIS, please see our website at www.uscis.gov/I-192 or call our National Customer Service Center at 1-800-375-5283 for the most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.


If you are filing your application with CBP, see the CBP website at www.cbp.gov for the most current information about where to file this application. For TTY (deaf or hard of hearing) call: 1-800-767-1833.




Where to File?


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If you are filing your application with USCIS, please see our website at www.uscis.gov/I-192 for the most current information about where to file this application.




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Page 9, Address Change

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Address Change


If You Have an Application Pending With USCIS


An applicant who is not a U.S. citizen must notify USCIS of his or her new address within 10 days of moving from his or her previous residence. For information on filing a change of address, go to the USCIS website at

www.uscis.gov/addresschange or contact the USCIS National Customer Service Center at 1-800-375-5283. For TTY (deaf or hard of hearing) call: 1-800-767-1833.


NOTE: Do not submit a change of address request to USCIS Lockbox facilities because the Lockbox does not process change of address requests.


If You Have an Application Pending With CBP


You may notify CBP of your change of address in writing through regular mail or email to:

U.S. Customs and Border Protection
Admissibility Review Office


22685 Holiday Park Drive Suite 10
Sterling, VA 20166-1234


Email address: [email protected]



Address Change

If You Have an Application Pending With USCIS

If you are not a U.S. citizen, you must notify USCIS of your new address within 10 days of moving from your previous residence. For information on changing your address, go to our website at www.uscis.gov/addresschange, or call the USCIS Contact Center.





NOTE: Do not submit a change of address request to the USCIS Lockbox.



If You Have an Application Pending With CBP


You may notify CBP of your change of address in writing through regular mail or email to:

U.S. Customs and Border Protection
Admissibility Review Office

Mail Stop 1234
22685 Holiday Park Drive Suite 10
Sterling, VA
20598-1234


Email address: [email protected]


Pages 9-10, Processing Information

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Processing Information


NOTE: It is important to fully disclose all grounds of inadmissibility that apply or may apply to you. If the application is approved, the approval is only valid for the grounds of inadmissibility that were listed on the application.



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USCIS Processing


Initial Processing. Once USCIS accepts your application, we will check it for completeness. If you do not completely fill out this application, you will not establish a basis for your eligibility and USCIS may reject or deny your application.


Requests for More Information. USCIS may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If we request an original document from you, it will be returned to you after USCIS determines it no longer needs your original.


Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application. At the time of any interview or other appearance at a USCIS office, we may require that you provide your biometrics to verify your identity and/or update background and security checks.


Decision. The decision on Form I-192 involves a determination of whether you have established eligibility for the immigration benefit you are seeking. USCIS will notify you of the decision in writing.


If you have any questions about your case, call the USCIS National Customer Service Center at 1-800-375-5283 or visit the USCIS website at www.uscis.gov. For TTY (deaf or hard of hearing) call: 1-800-767-1833.


If your case is at the Vermont Service Center (VSC), you may write to the VSC at:

USCIS Vermont Service Center
38 River Road

Essex Junction, VT 05479-0001


If your case is at the Nebraska Service Center (NSC), you may write to the NSC at:

Nebraska Service Center
PO Box 87918
Lincoln NE, 68501-7918


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CBP Processing


The Admissibility Review Office (ARO) will make a decision on your application. You will be notified in writing of the decision. The decision will be mailed to the address provided on the application. It is recommended that you wait until after more than 90 days have passed from submission of your application before making a status inquiry.


If you have a question about the status of your application, email the following address: [email protected]. Attorneys should send their questions to: [email protected].


How Long Is an Approved Form I-192 Valid?


If your application for advance permission to enter as a nonimmigrant is granted, the permission will be valid for the duration stated on the approval (8 CFR 212.4(c)(3)(iii)), subject to the conditions imposed on your admission. Advance permission to enter as a nonimmigrant is granted at the discretion of DHS, and may be revoked at any time. See 8 CFR 212.4(c)(1)(viii).


If you leave the United States and if the approval is no longer valid, you will need to file a new application for any future entries. A prior approval of Form I-192 cannot be revalidated. See 8 CFR 212.4(c)(3)(vi).




Processing Information


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USCIS Processing



Initial Processing. Once USCIS accepts your application, we will check it for completeness. If you do not properly complete this application, you will not establish a basis for your eligibility and we may reject or deny your application.


Requests for More Information. USCIS may request that you provide more information or evidence to support your application. We may also request that you provide the originals of any copies you submit. If we request an original document from you, we will return it to you after USCIS determines it is no longer needed.




Requests for Interview. We may request that you appear at a USCIS office for an interview based on your application. During your interview, USCIS may require you to provide your biometrics to verify your identity and/or update background and security checks.



Decision. The decision on Form I-192 involves a determination of whether you have established eligibility for the immigration benefit you are seeking. USCIS will notify you of our decision in writing.



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For additional information on how to make customer service inquires for protected persons T and U related filings, visit the USCIS Contact Us webpage at www.uscis.gov/about-us/contact-us, utilizing the available case inquiry options for “Inquiries for VAWA, T, and U Filings.”


Prohibition on Disclosure of Information. Information concerning U nonimmigrant status petitioners, T nonimmigrant applicants and their qualifying family members is protected under 8 U.S.C. 1367 from unauthorized disclosure to anyone other than an officer or employee of the Department of Homeland Security (DHS), the Department of Justice (DOJ), or the Department of State (DOS) who has a need to know the information. The disclosure of any information relating to a protected individual beyond DHS, DOJ, or DOS to anyone other than that protected individual or their authorized representative is prohibited except in certain limited circumstances as provided by law.


CBP Processing


The Admissibility Review Office (ARO) will make a decision on your application. You will be notified in writing of the decision. The decision will be mailed to the address provided on the application. It is recommended that you wait until after more than 150 days have passed from submission of your application before making a status inquiry.


If you have a question about the status of your application, email the following address: [email protected]. Attorneys should send their questions to: [email protected].


How Long Is an Approved Form I-192 Valid?


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Page 11, USCIS Forms and Information

[Page 11]


USCIS Forms and Information


To ensure you are using the latest version of this request, visit the USCIS website at www.uscis.gov where you can obtain the latest USCIS forms and immigration-related information.  If you do not have internet access, you may order USCIS forms by calling the USCIS Contact Center at 1-800-375-5283.  The USCIS Contact Center provides information in English and Spanish.  For TTY (deaf or hard of hearing) call:  1-800-767-1833.


Instead of waiting in line for assistance at your local USCIS office, you can schedule an appointment online at www.uscis.gov.  Select “Tools,” then under “Self Service Tools,” select “Appointments” and follow the screen prompts to set up your appointment.  Once you finish scheduling an appointment, the system will generate an appointment notice for you.




USCIS Forms and Information


To ensure you are using the latest version of this application, visit www.uscis.gov.











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Page 11, Penalties

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Penalties


If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-192, we will deny your Form I-192 and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.




Penalties

If you knowingly and willfully falsify or conceal a material fact or submit a false document with your Form I-192, we will deny your application and may deny any other immigration benefit. In addition, you will face severe penalties provided by law and may be subject to criminal prosecution.



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USCIS Compliance Review and Monitoring


By signing this application, you have stated under penalty of perjury (28 U.S.C. section 1746) that all information and documentation submitted with this application are complete, true, and correct. You also authorize the release of any information from your records that USCIS may need to determine your eligibility for the immigration benefit you are seeking and consent to USCIS verifying such information.


The Department of Homeland Security (DHS) has the authority to verify any information you submit to establish eligibility for the immigration benefit you are seeking at any time. Our legal authority to verify this information is in 8 U.S.C. sections 1103, 1155, and 1184, and 8 CFR parts 103, 204, 205, and 214. To ensure compliance with applicable laws and authorities, we may verify information before or after your case is decided.


Agency verification methods may include, but are not limited to: reviewing public records and information; contacting through written correspondence; using the internet, fax, other electronic transmission, or telephone; making unannounced physical site inspections of residences and locations of employment; and interviewing people. USCIS will use the information we obtain to assess your compliance with the laws and to determine your eligibility for an immigration benefit.


Subject to the restrictions under 8 CFR 103.2(b)(16), USCIS will provide you with an opportunity to address any adverse or derogatory information that may result from a compliance review, verification, or site visit before a decision is made on your request. For a visit after your request is approved, USCIS will provide you with an opportunity to address any adverse or derogatory information which may result in revocation or termination of an approval.


Page 11, DHS Privacy Notice

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DHS Privacy Notice


AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA sections 212(d)(3)(A)(ii), 212(d)(13), and 14 and 8 CFR parts 212.4(b), 212.16 and 17, 214.11, and 214.14.



PURPOSE: The primary purpose for providing the requested information on this application is for USCIS and CBP to grant temporary permission for certain inadmissible nonimmigrants to enter the United States. DHS uses the information you provide to grant or deny the immigration benefit you are seeking.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your application.



ROUTINE USES: DHS may share the information you provide on this application and any additional requested evidence with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS-007 - Benefits Information System, DHS/CBP-006 -Automated Targeting System, and DHS/USCIS-ICE/CBP-001 - Alien File, Index, and National File Tracking System of Records] and the published privacy impact assessments [DHS/USCIS/PIA-016a Computer Linked Application Information Management System and Associated Systems, DHS/USCIS/PIA-051 Case and Activity Management for International Operations, and DHS/USCIS/PIA-056 USCIS Electronic Immigration System] which you can find at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.


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DHS Privacy Notice

AUTHORITIES: The information requested on this application, and the associated evidence, is collected under INA sections 212(d)(3)(A)(ii), 212(d)(13), and 212(d)(14) and Title 8 Code of Federal Regulations sections 212.4, 212.16, 212.17, 214.11, and 214.14.



PURPOSE: The primary purpose for providing the requested information on this application is for USCIS and CBP to grant advance permission for certain inadmissible nonimmigrants to temporarily enter the United States. DHS uses the information you provide to grant or deny the immigration benefit you are seeking.


DISCLOSURE: The information you provide is voluntary. However, failure to provide the requested information, including your Social Security number (if applicable), and any requested evidence, may delay a final decision or result in denial of your request to temporarily enter the United States.


ROUTINE USES: DHS may share the information you provide on this application and any additional requested evidence with other Federal, state, local, and foreign government agencies and authorized organizations. DHS follows approved routine uses described in the associated published system of records notices [DHS/USCIS/ICE/CBP- 001 Alien File, Index, and National File Tracking System of Records, DHS/USCIS-007 Benefits Information System, and DHS/CBP-006 Automated Targeting System] and the published privacy impact assessments [DHS/USCIS/PIA-016(a) Computer Linked Application Information Management System and Associated Systems and DHS/CBP/PIA-006(b) Automated Targeting System Update], which can be found at www.dhs.gov/privacy. DHS may also share this information, as appropriate, for law enforcement purposes or in the interest of national security.






FBI Privacy Notice


USCIS may use your biometrics to obtain the criminal history records of the Federal Bureau of Investigation (FBI), for identity verification, to determine eligibility, to create immigration documents (for example, Permanent Resident Card, Employment Authorization Document), or any purpose authorized by the Immigration and Nationality Act. You may obtain a copy of your own FBI record using the procedures outlined at 28 CFR 16.30-16.34. For more information, please visit: https://www.fbi.gov/services/cjis/compact-council/guiding-principles-noncriminal-justice-applicants-privacy-rights. For information regarding how the FBI will use your fingerprints, please visit https://www.fbi.gov/services/cjis/compact-council/privacy-act-statement.


Page 12, Paperwork Reduction Act

[Page 12]


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 1 hour and 30 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. 1615-0017. Do not mail your completed Form I-192 to this address.




Paperwork Reduction Act

USCIS may not conduct or sponsor an information collection, and you are 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 1 hour and 11 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. 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. 1615-0017. Do not mail your completed Form I-192 to this address.



2

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleI-192
AuthorOIDP/FQC, Andrew Kim
File Modified0000-00-00
File Created2023-09-13

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