Instructions For Form I-134, Affidavit Of Support (Page 3 of 3) in pdf

Privacy Act Notice

Processing Information

We ask for the information on this form, and associated

Any Form I-134 that is not signed will be rejected with a

evidence, to determine if you have established eligibility for

notice that your Form I-134 is deficient. You may correct

the immigration benefit for which you are seeking. Our legal

the deficiency and resubmit Form I-134. Form I-134 is not

right to ask for this information can be found in the

considered properly filed until accepted by USCIS.

Immigration and Nationality Act, as amended. We may

provide this information to other government agencies. Failure

Initial processing

to provide this information, and any requested evidence, may

delay a final decision or result in denial of your request.

Upon your Form I-134 has been accepted, it will be checked

for completeness, including submission of the required initial

Authority for the collection of the information requested on

evidence. Failure to completely fill out Form I-134 or file it

this form is contained in 8 U.S.C. 1182(a)(4), 1183, 1184(a),

without required initial evidence, may result in the denial of

and 1258.

your application.

The information will be used principally by USCIS, or by any

Requests for more information or interview

consular officer to whom it may be furnished, to support an

alien's application for benefits under the Act and specifically

We may request more information or evidence, or we may

the assertion that you have adequate means of financial

request that you appear at a USCIS office for an interview.

support and will not become a public charge. Submission of

We may also request that you submit the originals of any

the information is voluntary.

copy. We will return these originals when they are no longer

required.

The information may also be disclosed to other Federal, State,

local, and foreign law enforcement and regulatory agencies,

including the U.S. Departments of Health and Human

USCIS Forms and Information

Services, Agriculture, State, Defense and any component (if

the applicant has served or is serving in the U.S. Armed

To order USCIS forms, call our toll-free number at

Forces), Central Intelligence Agency, and individuals and

1-800-870-3676. You can also get USCIS forms and

organizations during the course of any investigation to obtain

information on immigration laws, regulations, and procedures

further information required to carry out USCIS functions.

by telephoning our National Customer Service Center at

1-800-375-5283 or visiting our Internet Web site at www.

uscis.gov.

Paperwork Reduction Act

As an altenative to waiting in line for assistance at your local

USCIS office, you can now schedule an appointment through

An agency may not conduct or sponsor an information

collection, and a person is not required to respond to a

our Internet-based system, InfoPass. To access the system,

visit our Web site. Use the InfoPass appointment scheduler

collection of information unless it displays a currently valid

and follow the screen prompts to set up your appointment.

OMB control number. The public reporting burden for this

InfoPass generates an electronic appointment notice that

collection of information is estimated at 90 minutes per

response, including the time for reviewing instructions and

appears on the screen.

completing and submitting the form. Send comments

regarding this burden estimate or any other aspect of this

collection of information, including suggestions for reducing

Penalties

this burden, to: U.S. Citizenship and Immigration Services,

Regulatory Products Division, 111 Massachusetts Avenue,

If you knowingly and willfully make any false statement on

N.W., 3rd Floor, Suite 3008, Washington, DC 20529. OMB

Form I-134, or conceal any material fact, or submit a false

No. 1615-0014. Do not mail your application to this

document with Form I-134, we will deny the application for

address.

immigration benefits that the alien for whom you are

submitting Form I-134 has filed, and may deny any other

immigration benefits.

In addition, you will face severe penalties provided by law and

may be subject to criminal prosecution.

Form I-134 Instructions (05/21/10) Y Page 3

Instructions For Form I-134, Affidavit Of Support Page 3

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