Medical Center, consent for a background check by the Department of Homeland Security of American Samoa, police and health clearances from the country of origin, and a fee of US$40 (no fee for children under 5 years of age). The application for an entry permit must be made at least 30 days before travel, and the permit is valid for a stay of up to 30 days. Business travelers may apply for a multiple-entry permit, for a fee of US$50 per month, up to one year. Nationals of Samoa may apply for entry permits for a stay of up to 14 days (fee of US$10) or 30 days (fee of US$40, except for children under 5 years of age). Their application process requires fewer documents. Transit travelers of any nationality may apply for an electronic authorization free of charge, allowing a stay of up to 24 hours. Alaska Residents of the Chukotka Autonomous Okrug in Russia who are members of the indigenous population do not need a visa to visit Alaska if they have relatives (blood relatives, members of the same tribe, native people who have similar language and cultural heritage) in Alaska. Entry points are in Gambell and Nome. Individuals must be invited by a relative in Alaska, must notify local authorities at least ten days before traveling to Alaska, and must leave Alaska within 90 days. The agreement establishing this policy was signed by Russia (then the Soviet Union) and the United States on September 23, 1989. The United States made it effective as of July 17, 2015. American Indians born in Canada Members of certain indigenous peoples born in Canada may enter and remain in the United States indefinitely "for the purpose of employment, study, retirement, investing, and/or immigration" or any other reason by virtue of the Jay Treaty of 1794, as codified in Section 289 of the Immigration and Naturalization Act. In order to qualify, an individual must possess "at least 50 per centum blood of the American Indian Race". Tribal membership alone does not qualify an individual. The individual bears the burden of proof in establishing eligibility, typically by way of presenting identification based on reliable tribal records, birth certificates, and other documents establishing the percentage of Indian blood. A Canadian Certificate of Indian Status is insufficient proof because it does not indicate the percentage of Indian blood. This provision does not extend to family