Fillable Printable Paper Form I-901
Fillable Printable Paper Form I-901
Paper Form I-901
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.
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 toward 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.
ICE Form I-901 Instructions (06/15) Page 1 of 3
DEPARTMENT OF HOMELAND SECURITY
U.S. Immigration and Customs Enforcement
I-901, FEE REMITTANCE FOR CERTAIN F, J AND M NONIMMIGRANTS
OMB No. 1653-0034
Expires 05/31/2018
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.
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
on your Form I-20 or DS-2019, beginning with the
first number after the letter "N".
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.
18. Enter total amount. 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.
5. 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.
6. Enter your country.
11. Enter your country of birth, as listed on your
Form I-20 or DS-2019.
OMB No. 1653-0034 Expires 05/31/2018
Item Number:
1-2. Enter your name exactly as it appears on your
Form I-20 or DS-2019.
3. Enter your street address. Include apartment
number and Post Office (P.O.) Box,
if applicable.
4. Enter your city. Include a province as required.
You may abbreviate (e.g., Toronto, ON).
The online Form I-901 is available at: www.FMJfee.com
.
All I-901 payment confirmations must be printed from
www.FMJfee.com.
Instructions:
This form must be completed in English.
7. Enter the postal code or zip code.
8. List your date of birth in mm/dd/yyyy format.
9. Check the appropriate space pertaining to your
gender.
10. 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:
ICE Form I-901 Instructions (06/15) Page 2 of 3
All I-901 payment confirmations must be printed from
www.FMJfee.com.
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.
12. Enter email address to receive SEVP official
I-901 correspondence.
Privacy Statement
Authority and Purpose: Sections 1154, 1184, 1372, and 1258 of Title 8, U.S. Code, authorize ICE to collect this information.
ICE collects your information to facilitate the payment of the Student and Exchange Visitor Program fee for F, M, and J
nonimmigrant's (students, exchange visitors, and their dependents). This fee is mandated by Congress to support the program
office and the automated system that keeps track of students and exchange visitors and ensures that they maintain their status
while in the United States. Furnishing your information is voluntary; however, failure to provide it may result in denial of
admission to the United States.
Routine Uses: Your information may be disclosed to other government agencies, contractors, or financial institutions as may be
necessary to facilitate the payment and accounting of the Student and Exchange Visitor Program fee.
U.S. Immigration and Customs Enforcement is collecting this information as a part of its agency mission under the Department
of Homeland Security. The estimated average time to review the instructions, search existing data sources, gather and
maintain the data needed and completing and reviewing this collection of information is 19 minutes (0.32 hours) per response.
An agency may not conduct or sponsor, and a person is not required to respond to, an information collection unless it displays
a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden to: U.S. Immigration and Customs Enforcement, Forms
Management Office, 801 I Street NW, Washington D.C. 20536-5800. Do not mail your completed I-901 to this address.
OMB No. 1653-0034 Expires 05/31/2018
Public Reporting Burden
ICE Form I-901 Instructions (06/15) Page 3 of 3
DEPARTMENT OF HOMELAND SECURITY
U.S. Immigration and Customs Enforcement
I-901, FEE REMITTANCE
FOR CERTAIN F, J AND M NONIMMIGRANTS
Research Scholar ($180)
Short-term scholar ($180)
Specialist ($180)
Camp Counselor ($35)
Summer Work/Travel ($35)
TYPE OR PRINT IN BLUE OR BLACK INK
OR
A. F/M only: ($200)
1. Surname/Primary Name
(Last Name):
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)
18. Total amount $
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:
11. Country of Birth:
10. City (Province) of Birth:
12. Email Address:
7. Zip Code/Postal Code: 8. Date of Birth
(mm/dd/yyyy):
Female:
9. Gender (Check one):
6. Country:4. City (Province): 5. State (U.S. Address Only):
No. 2 Street Address /P.O. Box:
3. Street Address /P.O. Box: Apartment Number:
2. Given Name
(First and Middle Name):
214F
N
OMB No. 1653-0034
Expires 05/31/2018
Male:
AuPair ($35)
.
Intern ($180)
ICE Form I-901 (06/15)
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