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For I-901 Fee Remittance for Certain Non immigrants coppin state

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l. An F-1, F-3, M-1, or M-3 nonimmigrant transferring
between approved schools, changing educational
levels, or applying for post-completion practical
training.
a. An alien seeking an F-1, F-3, J-1, M-1, or M-3 visa from
an embassy or consulate abroad for initial attendance at a
school approved by the Department of Homeland Security
(DHS) or for initial participation in an exchange visitor
program designated by the Department of State (DoS).
There is an exception noted below in section j.
k. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant who has
previously paid the fee, or whose Form I-20 or
DS-2019 initial attendance was issued on or before
August 31, 2004 and who is applying for a visa to
return to the United States as a continuing student or
a continuing participant of an exchange visitor program.
Fee payment is required if the applicant is:
INSTRUCTIONS
This form is used to pay the fee to support the F, M, and J nonimmigrant reporting system authorized by Public Law 104-208,
Subtitle D, Section 641. If you are subject to this fee and do not pay it, you will not be issued an F, M, or J nonimmigrant visa
or be admitted to the United States. If you are in the United States and apply for a change of status, you are subject to this
fee. If you do not pay it, your application will not be processed.
(Expires 09/30/2011)
I-901, Fee Remittance for Certain F, J and M Nonimmigrants
OMB No. 1653-0034
Department of Homeland Security
U. S. Immigration and Customs Enforcement
b. An alien who does not need a visa to enter the United
States as a student or exchange visitor, who will be
applying for admission at a U.S. port-of-entry to begin
initial attendance at a DHS-approved school or initial
participation in a DoS-designated exchange visitor
program except as specified in section j below.
m. A J-1 nonimmigrant transferring between programs in
the same exchange visitor category where no
differential fee exists.
d. A nonimmigrant who was initially granted J-1 status as a
participant in an exchange visitor program sponsored by the
Federal government, as specified in section j below, and
who is now transferring to another J program in the same
category that is not sponsored by the Federal government.
n. A nonimmigrant applying for a change of classification
from within the United States between F-1 and F-3
status or between M-1 and M-3 status.
c. An alien in the United States seeking a change of status
to F-1, F-3, J-1, M-1, or M-3. There are exceptions noted
below in sections j and n.
o. An F-1, F-3, J-1, M-1, or M-3 nonimmigrant
requesting/applying for an extension of stay in a single
program.
e. A J-1 nonimmigrant who is applying for a change of
category from within the United States. There is an
exception noted below in section j.
p. An alien reapplying for a visa from an embassy or
consulate abroad after having paid the SEVIS fee for a
previous F-1, F-3, M-1, or M-3 visa that was denied,
and who is applying again for the same type of program
within 12 months of the initial denial.
f. A J-1 nonimmigrant who is applying for a reinstatement
after a substantive violation, or who has been out of
program status for longer than 120 days but less than
270 days during the course of his or her program. There
is an exception noted below in section j.
q. An alien reapplying for a visa from an embassy or
consulate after having paid the SEVIS fee for a previous
J-1 visa that was denied, and who is applying again for
the same type J-1 exchange visitor category within 12
months of the initial denial, unless there is a fee
differential.
g. An F-1, F-3, M-1, or M-3 nonimmigrant applying for
reinstatement of student status, who has been out of
student status for a period exceeding the presumptive
ineligibility requirement set forth in 8 CFR 214.2(f)(16)(A)
or 214.2(m)(16)(A).
r. A nonimmigrant who has applied for a change of status
in the United States to an F, M, or J classification, had
the initial application for the change of status denied for
a reason other than failure to pay the SEVIS fee, and is
applying for a motion to re-open the case within 12
months of the original denial.
h. An F-1, F-3, M-1, or M-3 nonimmigrant who has been
absent from the United States for a period exceeding 5
months, was not working towards completion of
curriculum in authorized overseas study, and now
wishes to re-enter for a new F or M program of study in
the United States.
Documents needed to fill out this form:
- F-1, F-3, M-1, and M-3 status only: Form I-20
(Certificate of Eligibility for Nonimmigrant Student
Status) issued to you by DHS-approved school you will
attend.
Fee payment not required if applicant is:
- J-1 status only: Form DS-2019 (Certificate of
Eligibility for Exchange Visitor [J-1] Status) issued to
you by the designated exchange visitor program in
which you will participate.
i. An F-2, J-2, or M-2 dependent.
j. A J-1 participant in an exchange visitor program
sponsored by the Federal government. A program
sponsored by the Federal government is identified by a
program number of G-1, G-2, G-3, or G-7.
Form I-901 Instructions (Rev. 10/08) Page 2
Fees must be submitted in the exact amount. Failure to file
forms correctly or with the correct payment will result in the
return of this form to you and additional delay in
processing. Fees will not be refunded.
I-901 Student/Exchange Visitor Processing Fee
P.O. Box 970020
St. Louis, MO 63197-0020
I-901 Student/Exchange Visitor Processing Fee
1005 Convention Plaza
St. Louis, MO 63101
17. A. F/M status: Check the box in subpart A
which indicates that you owe $200.00 and
continue on to item number 18. Do not check
any boxes in subpart B.
B. J-1 status: Do not check the box in subpart A.
Check the box in subpart B that corresponds to
the exchange visitor category found on your Form
DS-2019. (If your sponsor number in section 2 of
Form DS-2019 begins with G-1, G-2, G-3, or G-7,
you are exempt from fee payment). Continue on to
item number 18.
13. Enter your country of citizenship, as listed on
your Form I-20 or DS-2019.
14. F/M status only: Enter the school code found
on your Form I-20. Leave the Program Number
blank.
J-1 status only: Enter the exchange visitor
program number found on the Form DS-2019 (e.
g.; P-1-00000). If your sponsor number begins
with G-1, G-2, G-3, or G-7, you are exempt from
fee payment. Leave the School Code blank.
15. Enter the SEVIS identification number listed
above the barcode on the top right corner of your
Form I-20 or DS-2019.
16. Enter the passport number contained in your
passport, if available.
All checks and money orders must be made in U.S. dollars and
drawn on a bank located in the United States.
All checks and money orders must be made payable to the
"I-901 Student/Exchange Visitor Processing Fee."
Checks are accepted subject to collection. A charge of
$30.00 will be imposed if a check for payment of a fee is not
honored by the bank on which it is drawn.
Write the name of the student or exchange visitor and the
SEVIS identification number on the check.
19. Add the amount from the box checked in item 17 (fee
pertaining to classification) and item 18 (choice for
delivery). This is the total amount of money that you
owe. Please send only one check or money order.
Payment by mail:
The only forms of payment that will be accepted are checks
and money orders. No other form of payment will be accepted.
Do not mail cash.
6. For U.S. addresses only. If the address is in
the United States, enter the 2-letter
abbreviation for the state. If the address is not
a state within the United States, do not fill in
this section.
7. Enter the country to which your payment
receipt should be sent.
12. Enter your country of birth, as listed on your
Form I-20 or DS-2019.
OMB No. 1653-0034 (Expires 09/30/2011)
Item Number:
1-3. Enter your name exactly as it appears on your
Form I-20 or DS-2019.
4. Enter the street address to where your
payment receipt should be sent. Include
apartment number and Post Office (P.O.) box,
if applicable.
5. Enter the city where your payment receipt
should be sent. Include a province as
required. You may abbreviate (e.g., Toronto,
ON) to ensure successful delivery outside the
United States.
You may also complete the Form I-901 online. The form and
payment may then be submitted as explained above.
Alternately, online payment may be made using a credit card.
The online Form I-901 is available at: www.FMJfee.com.
A. Air Mail: There is no additional charge for
this option.
B. Expedited Delivery: There will be an added
shipping and handling fee of $35.00 for this option.
Your receipt will be delivered in an expedited
manner to the address listed in item numbers 4-8 on
the Form I-901.
18. Select the type of delivery you want used to send
your receipt (Form I-797) to you. This receipt will
serve as confirmation of payment. You must
select one of the following two options:
Instructions:
This form must be completed in English.
If you choose the expedited delivery option, you
must include a physical address. The courier will
not deliver to a post office box. You must also
include a telephone number. This information will not
be collected by the DHS and will only be used by the
mail courier service in order to ensure expedited
delivery.
8. Enter the postal code or zip code.
9. List your date of birth in mm/dd/yyyy format.
10. Check the appropriate space pertaining to your
gender.
11. Enter your city (province) of birth.
Mail the Form I-901 and payment to:
or
Courier the Form I-901 and payment to:
Payment by Internet:
Privacy Act Notice.
Authority to collect this information is contained in 8 USC 1154,
1184, and 1258. Failure to provide all of the requested
information may result in the delay of a final decision or denial of
your request. We may provide this information to other
government agencies (Federal, state, local, and/or foreign).
An agency may not conduct or sponsor an information collection
and a person is not required to respond to a collection of
information unless it displays a currently valid OMB control
number. We try to create forms and instructions that are
accurate, can be easily understood, and that impose the least
possible burden on you to provide us with information. Often
this is difficult because some immigration laws are very complex.
The estimated average time to complete and file this application
is 19 minutes. If you have comments regarding the accuracy of
this estimate or suggestions for making this form simpler, you
may write to the Department of Homeland Security, U.S. Immigration
and Customs Enforcement, Records Management Branch Chief,
500 12th St., SW, Room 3138, Washington, DC 20536. Do not mail
your completed application to this address.
Form I-901 Instructions (Rev. 10/08) Page 3
OMB No. 1653-0034 (Expires 09/30/2011)
Paperwork Reduction Act Notice.
Form I-901 (Rev. 10/08)
18. Return Receipt:
(You must choose one)
Research Scholar ($180)
Short-term scholar ($180)
Specialist ($180)
Camp Counselor ($35)
Summer Work/Travel ($35)
B. Expedited Delivery ($35)
TYPE OR PRINT IN BLUE OR BLACK INK
OR
WHERE DO YOU WANT YOUR PAYMENT RECEIPT TO BE SENT?
A. F/M only: ($200)
1. Last Name (Surname):
17. Amount to be paid:
B. J-1 only: Indicate your Exchange Visitor Category (Check only one of the following boxes)
Student ($180)
Trainee ($180)
Teacher ($180)
Professor ($180)
Alien Physician ($180)
Government Visitor ($180)
19. Total amount (add total from 17 and 18): $
15. SEVIS Identification Number: 16. Passport Number:
14. School Code (I-20) (F/M nonimmigrant only): Program Number (DS-2019) (J-1 nonimmigrant only):
13. Country of Citizenship:
12. Country of Birth:
11. City (Province) of Birth:
8. Zip Code/Postal Code:
9. Date of Birth (mm/dd/yyyy):
Female:
10. Gender (Check one):
7. Country:
5. City (Province): 6. State (U.S. Address Only):
No. 2 Street Address /P.O. Box:
4. Street Address /P.O. Box: Apartment Number:
3. Middle Name:
2. First Name (Given Name):
Telephone:
214F
Department of Homeland Security
U. S. Immigration and Customs Enforcement
N
OMB No. 1653-0034
(Expires 09/30/2011)
I-901, Fee Remittance for Certain
F, J and M Nonimmigrants
Male:
AuPair ($35)
A. Air Mail ($0)
.
Intern ($180)
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For I-901 Fee Remittance for Certain Non immigrants coppin state

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Completed 10 February 2020

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