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 202603-1615-003 · 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 Available
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 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
I-914-015 EXT Supporting Statement 20260326.docx Supporting Statement A Uploaded 2026-03-31 Available
G-1055, Fee Schedule-20260323.pdf Supplementary Document Uploaded 2026-03-31 Available
30-day Comments-91 FR 1545 01142026.xlsx Public Comments Uploaded 2026-01-14 Available
60-day Comment-USCIS-2006-0059-015-11072025.pdf Public Comments Uploaded 2025-11-07 Available
I-914-015 EXT-30-day Public Comment Response Matrix 20260326.pdf Supplementary Document Uploaded 2026-03-31 Available
30-day FRN-91 FR 1545-01142026.pdf Supplementary Document Uploaded 2026-03-31 Available
60-day FRN-90 FR 43225-09082025.pdf Supplementary Document Uploaded 2026-03-31 Available
SORN 018 DHS_USCIS IBBC 20180731.pdf Supplementary Document Uploaded 2024-08-13 Available
Refrence Citation.doc Supplementary Document Uploaded 2018-10-10 Available
SORN_DHS-USCIS-007_BenefitsInfoSys_10102019.pdf Supplementary Document Uploaded 2024-08-13 Available
SORN 001 AFileIndexNFTS 2017 09 18.pdf Supplementary Document Uploaded 2024-08-13 Available
privacy_pia_016_cis_claims3_2008.pdf Supplementary Document Uploaded 2024-08-13 Available
IC Document Collections
IC IDCollectionTypeStatusForm
225155 Biometrics Processing Unchanged
211477 Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Form ModifiedSupplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons
211477 Supplement B, Declaration of Law Enforcement Officer for Victim of Trafficking in Persons Instruction 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 ModifiedApplication for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons
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 ModifiedApplication for T Nonimmigrant Status; Application for Immediate Family Member of T-1 Recipient; & Declaration of Law Enforcement Officer for Victim of Trafficking in Persons
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 202603-1615-003
Received in OIRA 202502-1615-005
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
Extension without change of a currently approved collection   No
Regular 04/28/2026
  Requested Previously Approved
36 Months From Approved 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
Not associated with rulemaking
  90 FR 43225 09/08/2025
91 FR 1545 01/14/2026
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
Samantha Stout 704 762-0352 [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.
04/28/2026