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 201702-1615-002 · OMB 1615-0099 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form I-914B Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Unchanged Repair queued
Form I-914A 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 Unchanged Available
OMB 83C signed.pdf Justification for No Material/Nonsubstantive Change Uploaded 2017-02-10 Repair queued
I914-FRM-TOC-WIP-83C-02072017.doc Supplementary Document Uploaded 2017-02-07 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
225155 Biometrics Processing Unchanged
211477 Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Unchanged
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 Form Unchanged
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 Instruction Modified
ICR Details
1615-0099 201702-1615-002
Historical Active 201605-1615-004
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
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/27/2017
Retrieve Notice of Action (NOA) 02/17/2017
Previous terms of clearance continue to apply.
  Inventory as of this Action Requested Previously Approved
01/31/2019 01/31/2019 01/31/2019
3,992 0 3,992
5,870 0 5,870
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
1515-AA59 Final or interim final rulemaking 81 FR 92266 12/19/2016
  81 FR 11288 03/03/2016
81 FR 31653 05/19/2016
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 3,992 3,992 0 0 0 0
Annual Time Burden (Hours) 5,870 5,870 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$205,720
No
No
No
No
No
Uncollected
Helen (Elizabeth) Dallam 202 272-2995
  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.
02/17/2017