OMB control number
Guarantee of Payment
OMB 1651-0127 ยท DHS/USCBP.
OMB 1651-0127
Section 253 of the INA provides that the matter or agent of a vessel or aircraft shall guarantee payment for expenses incurred for an alien crewman who arrived in the United States and is afflicted with any disease or illness mentioned in Section 255 of the INA.
The latest form for Guarantee of Payment expires 2021-11-30 and is listed under ICR 201806-1651-005.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CBP Form I-510 Guarantee of Payment | Form |
 SS 1651-0127 Guarantee of Payment 2021.docx | Supporting Statement A |
| 30-Day FRN 1651-0127 Guarantee of Payment.pdf | Supplementary Document |
| 60FRN 1651-0127 Guarantee of Payment.pdf | Supplementary Document |
| APIS SORN.pdf | Supplementary Document |
| APIS PIA.pdf | Supplementary Document |
| Section 255 INA.docx | Supplementary Document |
| Section 253 INA.docx | Supplementary Document |
 8 CFR 253.doc | Supplementary Document |
 Guarantee of Payment |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202108-1651-006 | Extension without change of a currently approved collection | 2021-11-02 | Approved without change | |
| 201806-1651-005 | Extension without change of a currently approved collection | 2018-07-31 | Approved without change | |
| 201505-1651-001 | Extension without change of a currently approved collection | 2015-05-31 | Approved without change | |
| 201301-1651-001 | Extension without change of a currently approved collection | 2013-02-25 | Approved without change | |
| 200912-1651-001 | Extension without change of a currently approved collection | 2009-12-17 | Approved with change | |
| 200703-1651-001 | Extension without change of a currently approved collection | 2006-12-29 | Approved without change |