I-134, Affidavit Of Support Instructions Page 2

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VI. Use InfoPass for Appointments.
Joint and Several Liability Issues.
As an alternative to waiting in line for assistance at your local
Sections 1621(e) and 415(d) of the Social Security Act and
USCIS office, you can now schedule an appointment through
subsection 5(i) of the Food Stamp Act also provide that an
our internet-based system, InfoPass. To access the system,
alien and his or her sponsor shall be jointly and severally
visit our website at Use the InfoPass
liable to repay any SSI, TANF or Food Stamp benefits that
appointment scheduler and follow the screen prompts to set
are incorrectly paid because of mis-information provided
up your appointment. InfoPass generates an electronic
by a sponsor or because of a sponsor's failure to provide
appointment notice that appears on the screen. Print the
information.
notice and take it with you to your appointment. The notice
gives the time and date of your appointment, along with the
Incorrect payments that are not repaid will be withheld from
address of the USCIS office.
any subsequent payments for which the alien or sponsor are
otherwise eligible under the Social Security Act or Food
Stamp Act, except that the sponsor was without fault or
VII. Privacy Act Notice.
where good cause existed.
We ask for the information on this form and associated
These provisions do not apply to SSI, TANF or Food
evidence to determine if you have established eligibility for
Stamp eligibility of aliens admitted as refugees, granted
the immigration benefit you are seeking. Our legal right to
asylum or Cuban/ Haitian entrants as defined in section
ask for this information is in 8 U.S.C. 1203 and 1225. We
501(e) of P.L. 96-422, and to dependent children of the
may provide this information to other government agencies.
sponsor or sponsor's spouse.
Failure to provide this information and any requested
evidence may delay a final decision or result in denial of
your request.
IV. Authority, Use and Penalties.
Authority for the collection of the information requested on
VIII. Paperwork Reduction Act Notice.
this form is contained in 8 U.S.C. 1182(a)(15),1184(a) and
1258.
You are not required to respond to this form unless it
The information will be used principally by USCIS, or by
displays a currently valid OMB control number.
any consular officer to whom it may be furnished, to support
an alien's application for benefits under the Immigration and
We try to create forms and instructions that are accurate,
Nationality Act and specifically the assertion that he or she
can be easily understood and impose the least possible
has adequate means of financial support and will not become
burden on you to provide us with information. Often this
a public charge. Submission of the information is voluntary.
is difficult because some immigration laws are very
complex.
However, failure to provide the information may result in
the denial of the alien's application.
The estimated average time to complete and file this
notice is 15 minutes.
The information may also as a matter of routine use be
disclosed to other federal, state, local and foreign law
If you have comments regarding the accuracy of this
enforcement and regulatory agencies, including the
estimate, or suggestions for making this form simpler,
Department of Health and Human Services, Department of
you may write to: U.S. Citizenship and Immigration
Services, Regulatory Management Division, 111
Agriculture, Department of State, Department of Defense
and any component thereof ( if the deponent has served or
Massachusetts Avenue, N.W., Washington, DC 20529.
is serving in the armed forces of the United States), Central
Do not mail your completed affidavit of support to
Intelligence Agency, and individuals and organizations
this address.
during the course of any investigation to elicit further
information required to carry out USCIS functions.
V. Information and USCIS Forms.
For information on immigration laws, regulations and
procedures or to order USCIS forms, call our National
Customer Service Center at 1-800-375-5283 or visit our
website at
Form I-134 (Rev. 07/14/06)Y Page 2

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