1-134, Affidavit of Support

Any Form 1-134 that is not signed will be rejected with anotice that your Form 1-134 is deficient. You may correctthe deficiency and resubmit Form 1-134. Form 1-134 is notconsidered properly filed until accepted by USCIS.Initial processingUpon your Form 1-134 has been accepted, it will be checkedfor completeness, including submission of the required imtialevidence. Failure to completely fill out Form 1-134 or file itwithout required inmal evidence, may result in the denial ofyour application.Requests for more information or interviewWe may request more information or evidence, or we mayrequest that you appear at a USCIS office for an interviewWe may also request that you submit the originals of anycopy We will return these originals when they are no longerrequiredTo 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 Semce Center at1-800-375-5283 or visiting our Internet Web site at www.uscis.govAs 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 Web site. Use the InfoPass appointment schedulerand follow the screen prompts to set up your appointmentInfoPass generates an electronic appointment notice thatappears on the screen.If you knowingly and willfully make any false statement onForm 1-134, or conceal any material fact, or submit a falsedocument with Form 1-134, we will deny the application forimmigration benefits that the alien for whom you aresubmitting Form 1-134 has filed, and may deny any otherimmigration benefits.We ask for the reformation on this form, and associatedevidence, to determine If you have established ehgiblhty forthe immigration benefit for which you are seeking. Our legalright to ask for this information can be found in theImmigration and Nationahty 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 m denial of your request.Authority for the collection of the information requested onthis form is contained m 8 U.S.C 1182(a)(4), 1183, 1184(a),and 1258The reformation will be used principally by USCIS, or by anyconsular officer to whom it may be fumished, to support analien's application for benefits under the Act and specificallythe assertion that you have adequate means of financialsupport and will not become a public charge. Submission ofthe information is voluntaryThe information may also be disclosed to other Federal, State,local, and foreign law enforcement and regulatory agencies,including the U.S. Departments of Health and HumanServices, Agriculture, State, Defense and any component (ifthe apphcant has served or is serving m the U.S. ArmedForces), Central Intelligence Agency, and individuals andorganizations during the course of any investlgatÿon to obtainfurther information required to carry out USCIS functionsAn 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 reportmg burden for thiscollection of informatmn is estimated at 90 minutes perresponse, including the time for reviewing instructions, andcompleting and submitting the form. Send commentsregardmg this burden estimate or any other aspect of thiscollection of information, Including suggestions for reducingthis burden to" U S. Citizenship and Immigration Serwces,Regulatory Products Division, Office of the ExecutiveSecretariat, 20 Massachusetts Ave., N.W, Washington, DC20529-2020 OMB No. 1516-0014 This form expiresMay 31, 2012. Do not mail your completed Form 1-134 tothis address.In addition, you will face severe penalties provided by law andmay be subject to criminal prosecution.Form 1-134 Instructions (05/25/11) Y Page 3