Department of Homeland SecurityU.S. Citizenship and Immigration ServicesInstructions for Form I-191, Application for AdvancePermission to Return to Unrelinquished DomicileWhat Is the Purpose of This Form?Form I-191 allows a legal permanent resident of the UnitedStates to apply for permission to return to their home in theUnited States after time spent outside the United States.OMB No. 1615-0016; Expires 06/30/2010Form I-191 Instructions (Rev. 07/30/07) YPlease read these instructions carefully to properly complete this form. If you need more space to complete an answer, use aseparate sheet(s) of paper. Write your name and Alien Registration Number (A #), if any, at the top of each sheet of paperand indicate the part and number of the item to which the answer refers.InstructionsStep 1. Fill Out the Form I-191General Instructions.2. If extra space is needed to complete any item, attach acontinuation sheet, indicate the item number, and date andsign each sheet.3. Answer all questions fully and accurately. State that anitem is not applicable with "N/A." If the answer is none,write "none."1. Type or print legibly in black ink.6. When completing Number 3 on the form, where absenceshave been numerous as a resident alien border crosser or asa seaman, it will be sufficient to give the approximatenumber of such absences during the years covered.Copies. Unless specifically required that an originaldocument be filed with an application or petition, an ordinarylegible photocopy may be submitted. Original documentssubmitted when not required will remain a part of the record,even if the submission was not required.4. List specifically and in detail your reasons for possibleinadmissibility. For example, if the application is madebecause you may be inadmissible due to a conviction of acrime, state in the application the designation of the crime,the date and place of its commission and of the convictiontherefore, and the sentence or other judgement of the court.In the case of a disease, mental or physical defect or otherdisability, give an exact description, duration thereof andthe date and place last treated.5. If the applicant is mentally incompetent or is under 14years of age, the application shall be executed by his parentor guardian.Translations. Any document containing foreign languagesubmitted to the Service shall be accompanied by a fullEnglish language translation which the translator has certifiedas complete and accurate, and by the translator's certificationthat he or she is competent to translate from the foreignlanguage into English.Notice to Those Making Payment by Check. If you send usa check, it will be converted into an electronic funds transfer(EFT). This means we will copy your check and use theaccount information on it to electronically debit your accountfor the amount of the check. The debit from your account willusually take 24 hours, and will be shown on your regularaccount statement.This form, when completely executed, should be submitted tothe District Director or Field Office Director havingjurisdiction over your place of permanent residence.Where To File?What Is the Filing Fee?The filing fee for a Form I-191 is $545.00.NOTE: Please spell out U.S. Department of HomelandSecurity; do not use the initials "USDHS" or "DHS."A. If you live in Guam and are filing your petitionthere, make it payable to Treasurer, Guam.2. Make the check or money order payable to U.S.Department of Homeland Security, unless:B. If you live in the U.S. Virgin Islands and are filingyour petition there, make it payable toCommissioner of Finance of the Virgin Islands.Use the following guidelines when you prepare your check ormoney order for the Form I-191 fee:1. The check or money order must be drawn on a bank orother financial institution located in the United States andmust be payable in U.S. currency; andForm I-191 Instructions (Rev. 07/30/07) Y Page 2You will not receive your original check back. We willdestroy your original check, but we will keep a copy of it. Ifthe EFT cannot be processed for technical reasons, youauthorize us to process the copy in place of your originalcheck. If the EFT cannot be completed because of insufficientfunds, we may try to make the transfer up to two times.Any Form I-191 that is not signed or accompanied by thecorrect fee, will be rejected with a notice that the FormI-191 is deficient. You may correct the deficiency andresubmit the Form I-191. An application or petition is notconsidered properly filed until accepted by USCIS.The form fee on this form is current as the the edition dateappearing in the lower right corner of this page. However,because USCIS fees change periodically, you can verify if thefees are correct by following one of the steps below:How to Check If the Fees Are Correct.1. Visit our website at www.uscis.gov, select"Immigration Forms" check the appropriate fee;3. Telephone our National Customer Service Center at1-800-375-5283 and ask for the fee information.2. Review the Fee Schedule included in your formpackage, if you called us to request the form orAddress Changes.If you change your address and you have an application orpetition pending with USCIS, you may change your addresson-line at www.uscis.gov, click on "Change your address withUSCIS" and follow the prompts or by completing and mailingForm AR-11, Alien's Change of Address Card, to:For commercial overnight or fast freight services only, mailto:U.S. Citizenship and Immigration ServicesChange of AddressP.O. Box 7134London, KY 40742-7134U.S. Citizenship and Immigration ServicesChange of Address1084-I South Laurel RoadLondon, KY 40744Processing Information.Initial processing. Once a Form I-191 has been accepted, itwill be checked for completness, including submission of therequired initial evidence. If you do not completely fill out theform, or file it without required initial evidence, you will notestablish a basis for eligibility and we may deny your FormI-191.Decision. The decision on a Form I-191 involves adetermination of whether you have established eligiblity forthe requested benefit. You will be notified of the decision inwriting.If you knowingly and willfully falsify or conceal a materialfact or submit a false document with this Form I-191, we willdeny the Form I-191 and may deny any other immigrationbenefit.USCIS Forms and Information.To order USCIS forms, call our toll-free number at1-800-870-3676. You can also get USCIS forms andinformation on immigration laws, regulations and proceduresby telephoning our National Customer Service Center at1-800-375-5283 or visiting our internet website at www.uscis.gov.As an altenative to waiting in line for assistance at your localUSCIS office, you can now schedule an appointment throughour internet-based system, InfoPass. To access the system,visit our website. Use the InfoPass appointment scheduler andfollow the screen prompts to set up your appointment.InfoPass generates an electronic appointment notice thatappears on the screen.In addition, you will face severe penalties provided by law andmay be subject to criminal prosecution.Penalties.Requests for more information or interview. Wemay request more information or evidence, or we mayrequest that you appear at a USCIS office for an interview.We may also request that you submit the originals of anycopy. We will return these originals when they are nolonger required.Form I-191 Instructions (Rev. 07/30/07) Y Page 3We ask for the information on this form, and associatedevidence, to determine if you have established eligibility forthe immigration benefit for which you are filing. Our legalright to ask for this information can be found in theImmigration and Nationality Act, as amended. We mayprovide this information to other government agencies. Failureto provide this information, and any requested evidence, maydelay a final decision or result in denial of your Form I-191.Privacy Act Notice.An agency may not conduct or sponsor an informationcollection and a person is not required to respond to acollection of information unless it displays a currently validOMB control number. The public reporting burden for thiscollection of information is estimated at 15 minutes perresponse, including the time for reviewing instructions,completing and submitting the form. Send commentsregarding this burden estimate or any other aspect of thiscollection of information, including suggestions for reducingthis burden, to: U.S. Citizenship and Immigration Services,Regulatory Management Division, 111 MassachusettsAvenue, N.W., 3rd Floor, Suite 3008, Washington, DC 20529.OMB No. 1615-0016. Do not mail your application to thisaddress.Paperwork Reduction Act.