i-821 FRM TOC

TABLE OF CHANGES – FORM

Form I-821, Application for Temporary Protected Status

OMB Number: 1615-0043

06/04/2020

Reason for Revision: Fee Rule

Project Phase: Post G-1056

• Please note – all instances of “if any” and “if applicable” have been removed from Form I-821

Legend for Proposed Text:

• Black font = Current text

• Red font = Changes

Expires 07/31/2022

Edition Date 07/03/2019

Current Page Number and Section	Current Text	Proposed Text
Page 1	[Page 1] To be completed by an attorney or accredited representative (if any). Select this box if Form G-28 or G-28I is attached. Attorney State Bar Number (if applicable) Attorney or Accredited Representative USCIS Online Account Number (if any)	[Page 1] To be completed by an attorney or accredited representative. Select this box if Form G-28 or G-28I is attached. Attorney State Bar Number Attorney or Accredited Representative USCIS Online Account Number
Page 1, Part 1. Type of Application (select one)	[Page 1] … NOTE: If you have previously applied or have a pending application for TPS, but do not currently have TPS, select Item Number 1.a. and describe each time that you previously applied, including the receipt number (if available) and the outcome (if any) of each application. If you currently have a pending TPS application, please also describe when you filed it and the application receipt number (if available) in Part 11. Additional Information. If you do not recall or have incomplete information on your prior TPS applications, please provide the information you can, even if incomplete. …	[Page 1] … NOTE: If you have previously applied or have a pending application for TPS, but do not currently have TPS, select Item Number 1.a. and describe each time that you previously applied, including the receipt number (if available) and the outcome of each application. If you currently have a pending TPS application, please also describe when you filed it and the application receipt number (if available) in Part 11. Additional Information. If you do not recall or have incomplete information on your prior TPS applications, please provide the information you can, even if incomplete. …
Pages 1-3, Part 2. Information About You	[Page 1] … 7. Alien Registration Number (A-Number) (if any) 8. USCIS Online Account Number (if any) 9. U.S. Social Security Number (if any) … Other Dates of Birth Used (if any) … Country or Countries of Citizenship or Nationality (if any) (List all countries that apply.) … [Page 3] 21. U.S. Port of Entry (if any) … 23. Form I-94 Arrival-Departure Record Number (if any) … 25. Passport Number (most recent passport) (if any) (If you have other expired or valid passports, please list all of them and provide all information requested below about each passport.) 26. Travel Document Number (if any) … 34. Locations Where Your DOJ and/or DHS Proceedings were Held (or are currently being held) (if applicable) 35. Locations Where Your Federal Court Proceedings Regarding Immigration Issues were Held (or are currently being held) (if applicable) …	[Page 2] … 7. Alien Registration Number (A-Number) 8. USCIS Online Account Number 9. U.S. Social Security Number … Other Dates of Birth Used … Country or Countries of Citizenship or Nationality (List all countries that apply.) … [Page 3] 21. U.S. Port of Entry … 23. Form I-94 Arrival-Departure Record Number … 25. Passport Number (most recent passport) (If you have other expired or valid passports, please list all of them and provide all information requested below about each passport.) 26. Travel Document Number … 34. Locations Where Your DOJ and/or DHS Proceedings were Held (or are currently being held) 35. Locations Where Your Federal Court Proceedings Regarding Immigration Issues were Held (or are currently being held) …
Page 4, Part 4. Information About Your Current Spouse (if any)	[Page 4] Part 4. Information About Your Current Spouse (if any) … 1. USCIS Online Account Number (if any and if known) 2. A-Number (if any and if known) … 8.a. City or Town 8.b. State 8.c. Province (if any) 8.d. Country …	[Page 4] Part 4. Information About Your Current Spouse … 1. USCIS Online Account Number 2. A-Number … 8.a. City or Town 8.b. State 8.c. Province 8.d. Country …
Page 5, Part 5. Information About Your Former Spouses (if any)	[Page 5] Part 5. Information About Your Former Spouses (if any) … Names of All Your Former Spouses (if any) … 3. A-Number of Former Spouse (if any and if known) … 13. A-Number of Former Spouse (if any and if known) …	[Page 5] Part 5. Information About Your Former Spouses … Names of All Your Former Spouses … 3. A-Number of Former Spouse … 13. A-Number of Former Spouse …
Page 6, Part 6. Information About Your Children (if any)	[Page 6] Part 6. Information About Your Children (if any) … Provide the following information about each of your children (if any). If you need extra space to complete this section, use the space provided in Part 11. Additional Information. … 2. USCIS Online Account Number (if any and if known) 3. Alien Registration Number (A-Number) (if any and if known) … 9. USCIS Online Account Number (if any and if known) 10. Alien Registration Number (A-Number) (if any and if known) …	[Page 6] Part 6. Information About Your Children … Provide the following information about each of your children. If you need extra space to complete this section, use the space provided in Part 11. Additional Information. … 2. USCIS Online Account Number 3. Alien Registration Number (A-Number) … 9. USCIS Online Account Number 10. Alien Registration Number (A-Number) …
Pages 6-10, Part 7. Eligibility Standards	[Page 7] … 4. Your Immigration Status, if Any, in the Other Country (for example, citizen, legal permanent resident, refugee, asylee, visitor, student, temporary resident, or no status) …	[Page 7] … 4. Your Immigration Status, in the Other Country (for example, citizen, legal permanent resident, refugee, asylee, visitor, student, temporary resident, or no status) …
Page 13, Part 11. Additional Information	[Page 13] … If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number (if any) at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. … 2. A-Number (if any) …	[Page 13] … If you need extra space to provide any additional information within this application, use the space below. If you need more space than what is provided, you may make copies of this page to complete and file with this application or attach a separate sheet of paper. Type or print your name and A-Number at the top of each sheet; indicate the Page Number, Part Number, and Item Number to which your answer refers; and sign and date each sheet. … 2. A-Number …

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