OMB control number

Guarantee of Payment

OMB 1651-0127 · DHS/USCBP.

OMB 1651-0127

Section 253 of the INA provides that the matter or agent of a vessel or aircraft shall guarantee payment for expenses incurred for an alien crewman who arrived in the United States and is afflicted with any disease or illness mentioned in Section 255 of the INA.

The latest form for Guarantee of Payment expires 2021-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CBP Form I-510 Guarantee of Payment Form
SS 1651-0127 Guarantee of Payment 2021.docx Supporting Statement A
30-Day FRN 1651-0127 Guarantee of Payment.pdf Supplementary Document
60FRN 1651-0127 Guarantee of Payment.pdf Supplementary Document
APIS SORN.pdf Supplementary Document
APIS PIA.pdf Supplementary Document
Section 255 INA.docx Supplementary Document
Section 253 INA.docx Supplementary Document
8 CFR 253.doc Supplementary Document
Guarantee of Payment Form

All Historical Document Collections

202108-1651-006 Approved without change	Extension without change of a currently approved collection	2021-11-02
201806-1651-005 Approved without change	Extension without change of a currently approved collection	2018-07-31
201505-1651-001 Approved without change	Extension without change of a currently approved collection	2015-05-31
201301-1651-001 Approved without change	Extension without change of a currently approved collection	2013-02-25
200912-1651-001 Approved with change	Extension without change of a currently approved collection	2009-12-17
200703-1651-001 Approved without change	Extension without change of a currently approved collection	2006-12-29