OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons

ICR 201201-1615-008 · OMB 1615-0099 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-914 Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Modified Repair queued
I-914 Supporting Statement 3-7-12.DOC Supporting Statement A Uploaded 2012-03-08 Available
SORN.mht Supplementary Document Uploaded 2012-01-31 Source copy available
Approved PTA.pdf Supplementary Document Uploaded 2012-01-31 Available
PIA.pdf Supplementary Document Uploaded 2012-01-31 Available
Refrence Cite.doc Supplementary Document Uploaded 2012-01-31 Available
Published 30-Day Notice 1-24-12.doc Supplementary Document Uploaded 2012-01-31 Repair queued
Published 60-Day Notice 10-28-11.doc Supplementary Document Uploaded 2012-01-31 Available
IC Document Collections
IC IDCollectionTypeStatusForm
21015 Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Modified
ICR Details
1615-0099 201201-1615-008
Historical Active 201012-1615-001
DHS/USCIS
Application for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons
Extension without change of a currently approved collection   No
Regular
Approved with change 05/04/2012
Retrieve Notice of Action (NOA) 02/29/2012
Approved for two years only due to lack of GPEA compliance. This form is electronically fillable but not fileable.
  Inventory as of this Action Requested Previously Approved
05/31/2014 36 Months From Approved 05/31/2012
1,200 0 1,200
1,725 0 1,725
0 0 0
The information on all three parts of the form will be used to determine whether applicants meet the eligibility requirements for benefits. This application incorporates information pertinent to eligibility under the Victims of Trafficking and Violence Protection Act (VTVPA), Public Law 106-386, and a request for employment.
PL: Pub.L. 106 - 386 107(e) Name of Law: Victims of Trafficking and Violence Protection Act
  
None
Not associated with rulemaking
  76 FR 66944 10/28/2011
77 FR 3484 01/24/2012
No
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 1,200 1,200 0 0 0 0
Annual Time Burden (Hours) 1,725 1,725 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$48,000
No
No
No
No
No
Uncollected
John Gagnon 202 272-1719 [email protected]
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/29/2012