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 202102-1615-004 · OMB 1615-0099 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form I-914B Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Modified 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 Modified Repair queued
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 REV Supporting Statement 20210218.docx Supporting Statement A Uploaded 2021-03-30 Repair queued
I-914-006_30-Day_FRN 86 FR 13910_2021-05096.pdf Supplementary Document Uploaded 2021-03-11 Repair queued
I-914-006_60-Day_85 FR-73290-2020-25265.pdf Supplementary Document Uploaded 2021-03-11 Repair queued
I914SupB-006-INS-REV-30Day-02192021.pdf Supplementary Document Uploaded 2021-02-22 Repair queued
I914SupB-006-FRM-TOC-REV-30Day-02172021.docx Supplementary Document Uploaded 2021-02-19 Repair queued
I914SupA-006-FRM-TOC-REV-30Day-02172021.docx Supplementary Document Uploaded 2021-02-19 Repair queued
I914-006-INS-REV-30Day-02192021.pdf Supplementary Document Uploaded 2021-02-22 Repair queued
I914-006-FRM-TOC-REV-30Day-02172021.docx Supplementary Document Uploaded 2021-02-19 Repair queued
Refrence Citation.doc Supplementary Document Uploaded 2018-10-10 Repair queued
SORN - Benefits.pdf Supplementary Document Uploaded 2018-10-10 Repair queued
SORN - A-File.pdf Supplementary Document Uploaded 2018-10-10 Repair queued
PIA-CLAIMS 3.pdf Supplementary Document Uploaded 2018-10-10 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
225155 Biometrics Processing Modified
211477 Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form Modified
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 Modified
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 202102-1615-004
Received in OIRA 202007-1615-018
DHS/USCIS 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
Revision of a currently approved collection   No
Regular 03/30/2021
  Requested Previously Approved
36 Months From Approved 04/30/2021
5,778 4,253
9,261 6,284
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
  85 FR 73290 11/17/2020
86 FR 13910 03/11/2021
Yes
  Total Request 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 5,778 4,253 0 854 671 0
Annual Time Burden (Hours) 9,261 6,284 0 2,192 785 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
There is an increase in the estimated annual hour burden due to an increase in the number of respondents across all collection instruments due to the increase in the estimated number of respondents provided by USCIS’ Service Center Operations Directorate (SCOPS) combined with an increase in estimated time burden of three of the four I-914 instruments: I-914 increases 0.3 hour per response, I-914A increased 0.083 hour per response, and I-914B increase 0.083 hour per response. This time burden increase is the result of adding clarifying information regarding trafficking, travel and other instructional clarifying language. Biometric Services hour burden increase is strictly due to the SCOPS estimate increase and is not associated with program change. There is an increase in the estimated annual out-of-pocket cost burden due to the increase in the number of respondents. This change did not occur as a result of the program changes provided by USCIS’ Service Center Operations Directorate (SCOPS).
$629,472
No
    Yes
    Yes
No
No
No
No
Megan Barker 202 272-9135 [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.
03/30/2021