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 202502-1615-005 · 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 Missing upstream
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 Missing upstream
I-914-013-Biological Sex-83C-Supporting Statement 20250218 Final.docx Supporting Statement A Uploaded 2025-02-18 Repair queued
I-914-013-BiologicalSex-83C 20250211.pdf Justification for No Material/Nonsubstantive Change Uploaded 2025-02-18 Repair queued
I914SupB-013-INS-TOC-BiologicalSex-OMBReview-02182025.docx Supplementary Document Uploaded 2025-02-19 Repair queued
I914SupB-013-FRM-TOC-BiologicalSex-OMBReview-02182025.docx Supplementary Document Uploaded 2025-02-19 Repair queued
I914SupA-013-FRM-TOC-BiologicalSex-OMBReview-02182025.docx Supplementary Document Uploaded 2025-02-18 Repair queued
I914-013-INS-BiologicalSex-OMBReview-02182025-RCD.pdf Supplementary Document Uploaded 2025-02-18 Repair queued
I914-013-FRM-TOC-BiologicalSex-OMBReview-02182025.docx Supplementary Document Uploaded 2025-02-18 Repair queued
SORN 018 DHS_USCIS IBBC 20180731.pdf Supplementary Document Uploaded 2024-08-13 Repair queued
Refrence Citation.doc Supplementary Document Uploaded 2018-10-10 Missing upstream
SORN_DHS-USCIS-007_BenefitsInfoSys_10102019.pdf Supplementary Document Uploaded 2024-08-13 Repair queued
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document Uploaded 2024-08-13 Repair queued
privacy_pia_016_cis_claims3_2008.pdf Supplementary Document Uploaded 2024-08-13 Repair queued
ICR Details
1615-0099 202502-1615-005
Received in OIRA 202408-1615-004
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
No material or nonsubstantive change to a currently approved collection   No
Regular 02/19/2025
  Requested Previously Approved
08/31/2026 08/31/2026
5,778 5,778
9,259 9,259
2,532,300 2,532,300

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

1615-AA59 Final or interim final rulemaking 89 FR 34864 04/30/2024

  89 FR 34864 04/30/2024
89 FR 56893 07/11/2024
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 5,778 0 0 0 0
Annual Time Burden (Hours) 9,259 9,259 0 0 0 0
Annual Cost Burden (Dollars) 2,532,300 2,532,300 0 0 0 0
No
No

$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.
02/19/2025