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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1615-0099
ICR Reference No:
201411-1615-012
Status:
Historical Inactive
Previous ICR Reference No:
201403-1615-001
Agency/Subagency:
DHS/USCIS
Agency Tracking No:
I-914, I-914A, I-914B
Title:
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
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
01/30/2015
OIRA Conclusion Action:
Withdrawn and continue
Conclusion Date:
03/26/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/21/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2016
6 Months From Approved
01/31/2017
Responses
1,200
0
1,200
Time Burden (Hours)
1,725
0
1,725
Cost Burden (Dollars)
0
0
0
Abstract:
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.
Emergency Justfication:
To meet regulatory requirements.
Authorizing Statute(s):
PL:
Pub.L. 106 - 386 107(e)
Name of Law: Victims of Trafficking and Violence Protection Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1615-AA59
Final or interim final rulemaking
78 FR 22222
01/01/1801
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 6209
02/03/2014
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
5
IC Title
Form No.
Form Name
Application for Family Member of T-1 Recipient
I-914A
Application for Family Member of T-1 Recipient
Application for T Nonimmigrant Status
I-914
Application for T Nonimmigrant Status
Biometric Processing
Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement)
I-914B
Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement)
Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Law Enforcement Officer completion activity)
I-914B
Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Law Enforcement Officer completion activity)
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
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.
Annual Cost to Federal Government:
$143,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Rosemary Hartmann 202 272-8981 rosemary.m.hartmann@uscis.dhs.gov
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
01/21/2015
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