Declaration of Self-Sufficiency

USCIS will require an individual applying to adjust status to lawful permanent residence (Form I-485) and who is subject to the public charge ground of inadmissibility to file this form. On a case by case basis, USCIS may request that a nonimmigrant seeking to extend stay or change status (Form I-539 or I-129) file this form. The data collected on this form will be used by USCIS to determine the likelihood of a declarant becoming a public charge based on the factors regarding health; family status; assets, resource, and financial status; and education and skills. The form serves the purpose of standardizing public charge evaluation metrics and ensures that declarants provide all essential information required for USCIS to assess self-sufficiency and adjudicate the declaration. If USCIS determines that a declarant is likely to become a public charge, the declarant may need to provide additional resources or evidence to overcome this determination.

The latest form for Declaration of Self-Sufficiency expires 2021-10-31 and is listed under ICR 201907-1615-009.