Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement

OMB 1615-0136

USCIS is submitting this request because DHS is proposing to require an alien seeking entrepreneur parole under its proposed rule, "Significant Public Benefit Parole for Entrepreneurs," to file Form I-941 and, when applicable, Form I-941A, to demonstrate that he or she meets the eligibility criteria for entrepreneur parole based on significant public benefit. Based on his or her grant of parole, the alien's dependent spouse and children will also be eligible to request this parole.

The latest form for Application for Significant Public Benefit Entrepreneur and Instructions for Data Reporting Supplement expires 2022-04-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
I-941-012 REV Supporting Statement 20240920.docx Supporting Statement A
G1055-INS 08192024.pdf Supplementary Document
30-day FRN-I-941-012 REV.pdf Supplementary Document
60-day FRN I-941-012 REV.pdf Supplementary Document
I941-012-FRM-TOC-FY25IEPFinalRule-30Day-08192024.docx Supplementary Document
I941-012-INS-TOC-FY25IEPFinalRule-30Day-08192024.docx Supplementary Document
PIAUSCIS083-ECNappendixgupdate-november2021.pdf Supplementary Document
DHS.USCIS.018 Immigration Biometric and Background Check (IBBC) System of Records, July 31, 2018, 83 FR 36950.pdf Supplementary Document
SORN DHS-USCIS 007 Benefits Info Sys 10102019 84 FR 54622.pdf Supplementary Document
SORN - DHS-USCIS-001 -A File 09182017 82 FR 43556.pdf Supplementary Document
PIA-DHS-USCIS-016(a) Computer Linked Application Information Management System (CLAIMS 3) and Associated Systems 03252016.pdf Supplementary Document
citations.docx Supplementary Document
Biometric Processing
Application for Significant Public Benefit Entrepreneur Instruction

All Historical Document Collections

202409-1615-007	Revision of a currently approved collection	2024-10-17
202309-1615-006 Approved without change	Revision of a currently approved collection	2024-02-08
202211-1615-028 Comment filed on proposed rule and continue	Revision of a currently approved collection	2023-01-24
202112-1615-004 Approved without change	Extension without change of a currently approved collection	2022-01-27
202109-1615-006 Withdrawn and continue	Revision of a currently approved collection	2021-10-01
202007-1615-042 Approved without change	No material or nonsubstantive change to a currently approved collection	2020-08-06
201911-1615-003 Withdrawn and continue	No material or nonsubstantive change to a currently approved collection	2019-11-29
201901-1615-012 Approved without change	Extension without change of a currently approved collection	2019-02-12
201712-1615-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-12-22
201712-1615-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2017-12-08
201706-1615-007 Approved with change	Revision of a currently approved collection	2017-07-10
201701-1615-011 Approved with change	New collection (Request for a new OMB Control Number)	2017-01-17
201509-1615-006 Comment filed on proposed rule	New collection (Request for a new OMB Control Number)	2016-08-26

OMB Details

Application for Significant Public Benefit Entrepreneur

Federal Enterprise Architecture: Homeland Security - Border and Transportation Security

Form I-941	Application for Entrepreneur Parole	www.uscis.gov/I-941	Form
Form		www.uscis.gov/I-941	Instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.