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 201403-1615-001 · OMB 1615-0099 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form Supplement B Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form New Available
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 Available
SORN.mht Supplementary Document Uploaded 2014-04-28 Repair queued
PIA.pdf Supplementary Document Uploaded 2014-04-28 Repair queued
Refrence Cite.doc Supplementary Document Uploaded 2014-04-28 Repair queued
Published 30-Day Notice - 2014-4-2.docx Supplementary Document Uploaded 2014-04-28 Available
Published 60-Day Notice - 2014-1-24.docx Supplementary Document Uploaded 2014-04-28 Repair queued
I-914 Supporting Statement 4-3-2014 (c).DOC Supporting Statement A Uploaded 2014-04-28 Available
IC Document Collections
IC IDCollectionTypeStatusForm
211477 Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form New
211476 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 Instruction New
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 201403-1615-001
Historical Active 201201-1615-008
DHS/USCIS 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
Extension without change of a currently approved collection   No
Regular
Approved without change 07/29/2014
Retrieve Notice of Action (NOA) 05/28/2014
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
07/31/2016 36 Months From Approved 07/31/2014
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
  79 FR 4168 01/24/2014
79 FR 18572 04/02/2014
Yes
  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
There has been no increase or decrease in the burden. However, the time burden was previously combined, and with this submission the ICs and corresponding time burden have been separated in the system.
$48,000
No
No
No
No
No
Uncollected
Rosemary Hartmann 202 272-8981 [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.
05/28/2014