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3. The organization must, upon request, submit to USCIS, or any organization designated by USCIS, information

requested of the organization and its programs for use in investigating allegations of noncompliance with standards

and for general purposes of determining continued approval as an independent credentialing organization.

4. The organization must establish performance outcome measures that track the ability of the certificate holders to pass

U. S. licensure or certification examinations.

The purpose of the process is to ensure that certificate holders pass U. S. licensure or certification examinations at the

same pass rate as graduates of the U. S. programs. Failure to establish such measures, or having a record showing an

inability of persons granted certificates to pass U. S. licensure examinations at the same rate as graduates of U. S.

programs, may result in a ground for termination of approval. Information regarding the passage rates of certificate

holders must be maintained by the organization and provided to HHS on an annual basis, to USCIS as part of the 5-

year reauthorization application, and at any other time upon request by HHS or USCIS.

5. The organization must be in ongoing compliance with other policies specified by USCIS.

Are There Any Limitations If This Application Is Approved?

If your application is approved, it will be approved for a period of 5 years. USCIS will conduct a review of your

organization every 5 years to ensure continued compliance with the standards described. The review will occur

concurrent with the adjudication of your request for reauthorization to issue health care worker certificates. If USCIS

determines that you are not complying with the terms of authorization, or if other adverse information is brought to

USCIS's attention, USCIS may proceed to terminate your authorization to issue health care worker certificates.

What Is Our Authority for Collecting This Information?

We request the information on this form to carry out the immigration laws contained in Title 8, U.S. Code, Section 1186.

We need this information to determine whether a person is eligible for immigration benefits. The information the

organization or individuals on behalf of the organization provides may also be disclosed to other Federal, State, local, and

foreign law enforcement and regulatory agencies.

The organization, or individuals on behalf of the organization, do not have to give this information. However, refusal to

give some or all of it may result in denial of the application.

General Instructions

USCIS provides forms free of charge through the USCIS Web site. In order to view, print, or fill out our forms, you

should use the latest version of Adobe Reader, which you can download for free at

Each application must be accompanied by the appropriate filing fee. (See the What Is the Filing Fee section of these

instructions.)

Copies. You may submit a legible photocopy of documents requested, unless the instructions specifically state that you

must submit an original document. If you submit original documents when not required, the documents may remain a part

of the record, and USCIS will not automatically return them to you.

Translations. If you submit a document with information in a foreign language, you must also submit a full English

translation. The translator must certify that the English language translation is complete and accurate, and that he or she is

competent to translate from the foreign language into English.

How To Fill Out Form I-905

1. Type or print legibly in black ink.

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Form I-905 Instructions 02/11/14 Y

Instructions For Form I-905 - Application For Authorization To Issue Certification For Health Care Workers Page 5