[Inferred Main Title] - OMB Number 1615-0003 - Revision Notes

Sep 15, 2026

Uploaded by Jake

Instructions titled "Table of Changes" provide revision guidance for Supplement A to Form I-539, referencing OMB No. 1615-0003 with a date of 07/31/2019. The revision adds public benefits questions and clarifies how applicants must document additional evidence when seeking to extend nonimmigrant status or change status. It explains requirements for reporting receipt or certification for specified federal, state, local, or tribal public benefits and outlines timing, definitions, and exemptions for certain categories.

LanguageEnglish

CategoryLetters

FormatPDF

Pages6

Reading Time2 min

AccessFree to download

TABLE OF CHANGES – INSTRUCTIONS

Reason for Revision

Additional Evidence Requirements for VNonimmigrants

Part 3. Public Benefits

Definition and Evidence of Receipt

Public Benefits Lists and Exemptions

TABLE OF CHANGES – INSTRUCTIONS Instructions for Supplement A to Form I-539 OMB Number: 1615-0003 07/31/2019 Reason for Revision: Revision to include public benefits questions. • Black font = Current text • Red font = Changes | Current Page Number and Section | Current Text | Proposed Text | | --- | --- | --- | | Page 1,
What Is the Purpose of This Form? | [Page 1]
…
Additional Evidence Requirements for VNonimmigrants
In addition to the General Filing Instructions and Initial Evidence required by the Form I-539 Instructions, you must submit:
1. Form I-693, Report of Medical Examination and Vaccination Record, without the vaccination supplement; and
2. Proof of filing of the immigrant petition that qualifies you for Vnonimmigrant status, and if necessary, proof of filing of Form I-485, Application to Register Permanent Residence or Adjust Status. Proof of filing may be in the form ofForm I- 797, Notice of Action, that serves as a receipt or as a notice of approval, or a receipt for a filed Form I-130 or Form I-485, or notice of approval issued by a local district/field office.
If you do not have such proof, USCIS will review other forms of evidence, such as correspondence to or from USCIS regarding a pending petition.
If you do not have any of the above items, but believe you are eligible for Vnonimmigrant status, you must state where and when the petition was filed, the name and alien registration number | [Page 2]
…
[no change] | 1 | | of the petitioner, and the names of all beneficiaries. | Part 3. Public Benefits
In general, as a condition on the approval of this application, you must demonstrate that you have not received since obtaining the nonimmigrant status you seek to extend or from which you seek to change, one or more public benefits set forth in 8 CFR
212.21(b) (and listed below) for more than
12 months within any 36 month period (such that, for instance, receipt of two benefits in one month counts as two months) .
You must provide information about all public benefits, as defined in 8 CFR
212.21(b) (and which are listed below), you have received since obtaining thenonimmigrant status you seek to extend or from which you seek to change. You do not need to provide information on your receipt of public benefits if you are filing under one of these categories: A1, A2, G1, G2, G3, G4, NATO1, NATO2, NATO3, NATO4, NATO5, NATO6, NATO7, T1, T2, T3, T4, T5, T6, U1, U2, U3, U4, U5) .
Receipt means when a benefit-granting agency provides a public benefit to you whether in the form of cash, voucher, services, or insurance coverage. Only the public benefits received by or attributable to you will be considered.
In the space provided, please provide all requested information about each public benefit received, regardless of how long you received the public benefit. USCIS will calculate the duration you received public benefits, as described below, for purposes of determining your eligibility for an extension of stay or change of status. If you received public benefits intermittently throughout the year, provide each instance separately. For example, if you received SNAP from January to February and from June to December, list the information separately.
Indicate whether, since obtaining thenonimmigrant status you seek to extend or from which you seek to change, or have | | --- | --- | --- | 2 | | | been certified to receive, any of the following public benefits (You need to respond even if you fall within one of the categories of individuals for whom receipt of public benefits will not be considered – see table below for evidence that must be provided to document that you qualify for the exemption):
1. Any Federal, state, local, or tribal cash assistance for income maintenance including:
2. Supplemental Security Income (SSI);
3. Temporary Assistance for Needy Families (TANF);
4. Federal, state, or local cash benefit programs for income maintena

FAQs

What change does this Table of Changes instruction introduce to Supplement A for Form I-539?

The revision adds public benefits questions, requiring applicants to provide information about public benefits received or certified for since obtaining the nonimmigrant status they seek to extend or change.

What additional evidence may be required for VNonimmigrants?

Applicants may need to submit Form I-693 without the vaccination supplement and proof of filing for petitions that qualify them, such as receipts or notices related to Forms I-797, I-130, or I-485, or related correspondence to/from USCIS.

How does USCIS define "receipt" of public benefits for this form?

Receipt means when a benefit-granting agency provides a public benefit to the applicant in forms such as cash, vouchers, services, or insurance coverage, and only benefits received by or attributable to the applicant are considered.

Sep 15, 2026

Uploaded by Jake