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View ICR - OIRA Conclusion

OMB Control No: 1615-0099	ICR Reference No: 202102-1615-004
Status: Historical Active	Previous ICR Reference No: 202007-1615-018
Agency/Subagency: DHS/USCIS	Agency Tracking No: I-914
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: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/02/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/30/2021
Terms of Clearance: Form is approved for only two years due to partial GPEA compliance.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2023	36 Months From Approved	12/31/2021
Responses	5,778	0	4,253
Time Burden (Hours)	9,261	0	6,284
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	5,778	4,253	854	671
Annual Time Burden (Hours)	9,261	6,284	2,192	785
Annual Cost Burden (Dollars)	0	0	0	0

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: 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).

Annual Cost to Federal Government: $629,472

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

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? No

Agency Contact: Megan Barker 202 272-9135 megan.m.barker@uscis.dhs.gov