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 201411-1615-012 · OMB 1615-0099 · Historical Inactive

Forms and Documents
DocumentTypeStatusAvailability
Form I-914B Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement) Form New Repair queued
Form I-914B Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Law Enforcement Officer completion activity) Form Modified Available
Form I-914A Application for Family Member of T-1 Recipient Form Modified Repair queued
Form I-914 Application for T Nonimmigrant Status Form Modified Repair queued
Place Holder - T Nonimmigrant Rule .docx Supplementary Document Uploaded 2015-01-15 Repair queued
I914-INS-TOC-WIP-TRule-08122013.doc Supplementary Document Uploaded 2015-01-15 Available
I914B-INS-TOC-WIP-TRule-06182013.doc Supplementary Document Uploaded 2015-01-15 Available
I914B-FRM-TOC-WIP-TRule-06132013.doc Supplementary Document Uploaded 2015-01-15 Repair queued
I914A-FRM-TOC-WIP-TRule-06182013.doc Supplementary Document Uploaded 2015-01-15 Available
I914-FRM-TOC-WIP-TRule-07022013.doc Supplementary Document Uploaded 2015-01-15 Repair queued
Reference Cite.docx Supplementary Document Uploaded 2015-01-15 Available
Reference Cite.doc Supplementary Document Uploaded 2015-01-15 Available
SORN - USCIS A-FILE.docx Supplementary Document Uploaded 2015-01-15 Repair queued
SORN - USCIS Benefits Information System.docx Supplementary Document Uploaded 2015-01-15 Available
PIA - CLAIMS 3.pdf Supplementary Document Uploaded 2015-01-15 Repair queued
Supporting Statement 1615-0099 I-914 2014-4-10.docx Supporting Statement A Uploaded 2015-01-15 Available
IC Document Collections
IC IDCollectionTypeStatusForm
214658 Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement) Form New
214657 Biometric Processing New
211477 Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Law Enforcement Officer completion activity) Form Modified
211476 Application for Family Member of T-1 Recipient Form Modified
21015 Application for T Nonimmigrant Status Form Modified
ICR Details
1615-0099 201411-1615-012
Historical Inactive 201403-1615-001
DHS/USCIS I-914, I-914A, I-914B
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
Revision of a currently approved collection   No
Emergency 01/30/2015
Withdrawn and continue 03/26/2015
Retrieve Notice of Action (NOA) 01/21/2015
  Inventory as of this Action Requested Previously Approved
07/31/2016 6 Months From Approved 01/31/2017
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.
To meet regulatory requirements.
PL: Pub.L. 106 - 386 107(e) Name of Law: Victims of Trafficking and Violence Protection Act
  
None
1615-AA59 Final or interim final rulemaking 78 FR 22222 01/01/1801
  79 FR 6209 02/03/2014
Yes
Yes
Miscellaneous Actions
No
The total estimated annual hour burden has increased from 1,725 hours to 4,711 hours. This increase is due to: a) an increase in the estimated number of respondents for the I-914 based on an adjustment in agency estimate; b) an increase in the estimated number of respondents for the I-914 Supplement A based on an adjustment in agency estimate; c) an increase in the estimated number of respondents for the I-914 Supplement B based on an adjustment in agency estimate; d) an increase in the estimated burden per response for the I-914 Supplement B, from 30 minutes and 3 hours and 30 minutes based on a program change due to agency discretion; e) and the inclusion of the biometric processing burden for this collection which was not captured at the time of the last submission.
$143,000
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.
01/21/2015