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

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

i-914 Instructions 7-5-07

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

OMB: 1615-0099

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OMB No. 1615-0099; Expires 01/31/09

Instructions for I-914, Application for
T Nonimmigrant Status

Department of Homeland Security
U.S. Citizenship and Immigration Service

(Filing Instructions for Application for T Nonimmigrant Status (Form I-914); Application for Immediate Family
Member of T-1 Recipient (Form I-914, Supplement A); and Declaration of Law Enforcement Officer for Victim of
Trafficking in Persons (Form I-914, Supplement B).
Index
Parts
1. Purpose

Page No.
1

2. General Filing Instructions

1

3. Required Documentation for Application

2

4. Completing Each Application
5. Fee Information
6. Where to File

3
6
6
6

7. Federal Law Enforcement Declaration Instructions
8. Other Information

6

Part 1. What Is the Purpose of This Form?

Eligibility for employment authorization will last for the
length of the duration of the T nonimmigrant status (three
years maximum). If employment authorization is approved, the
T-2, T-3, or T-4 alien will be given an eligibility classification
of C25 in accordance with section 274a.12(c)(25).
The validity period of the initial EAD will be for 12 months.
Extensions may be granted in 12-month increments, up to the
expiration date of the T nonimmigrant status (three years
maximum).
NOTE: An Employment Authorization Document (EAD)
cannot be issued to an alien (derivative family member) that is
presently residing outside the United States. The principal alien
will be notified of this fact.

Form I-914, Supplement B, Declaration of Law
Enforcement Officer for Victim of Trafficking in
Persons.

Form I-914, Application for T Nonimmigrant.
The purpose of the Form I-914 is to provide temporary
immigration benefits to aliens who are victims of severe forms
of trafficking in persons (principals), and to their immediate
family members (derivatives), as appropriate. Form I-914
shall be filed with the U.S. Citizenship and Immigration
Services (USCIS), initially by the victims themselves. The
victims may also include eligible family members on their
application at that time. The form may also be filed at a later
date to petition for eligible family members whom the victim
did not include in the original application, but for whom the
victim subsequently wishes to file.

Form I-914, Supplement A, Application for Immediate
Family Member of T-1 Recipient.
The purpose of the Form I-914, Supplement A, is to allow
principal T nonimmigrant status holders and applicants to
apply for derivative benefits for their immediate family
members. The principal applicant shall complete and file one
Form I-914, Supplement A, for each family member for whom
the principal applicant is now seeking derivative status.
An alien granted T-2, T-3, or T-4 nonimmigrant status may
apply for employment authorization by filing an Application
for Employment Authorization (Form I-765), with the
appropriate fee or an application for fee waiver.
The Form I-765 may be filed concurrently with the filing of
the application for T-2, T-3, or T-4 status, or at any time
thereafter.

The Form I-914, Supplement B, is used by Federal Law
Enforcement Officers to certify that the applicant is a victim of
a severe form of trafficking in persons.

Part 2. General Filing Instructions.
Safe Mailing Address.
As a result of situations leading to your filing of this
application, you may not feel secure receiving correspondence
regarding this application at the address where you live. The
Safe Mailing Address may, but need not be, the mailing
address for the place where you live. It may be a post office
box, the address of a friend, a community based organization
that is helping you, your attorney, or any other address at
which you can receive correspondence safely and punctually.

How to File.
Form I-914.
You must submit two identical color photographs of yourself
taken within 30 days of the filing of this application. The
photos must have a white to off-white background, be printed
on thin paper with a glossy finish, and be unmounted and
unretouched. NOTE: Digital photos are not acceptable.
Passport-style photos must be 2" x 2." The photos must be in
color with full face, frontal view on a white to off-white
background. Head height should measure 1" to 1 3/8" from top
of hair to bottom of chin, and eye height is between 1 1/8" to 1
3/8" from bottom of photo. Your head must be bare unless
you are wearing a headdress as required by a religious order of
which you are a member. Using pencil or felt pen, lightly
print your name and Alien Receipt Number on the back of the
photo.
Form I-914 Instructions (07/30/07)Y

Waiver of Grounds of Inadmissibility.
A principal or derivative applicant who is or becomes
inadmissible under section 212(a) of the Immigration and
Nationality Act (the Act) will not be eligible for T
nonimmigrant status unless the ground of inadmissibility is
waived. If the ground of inadmissibility is one that can be
waived, the alien should apply for a waiver of the grounds of
inadmissibility on Form I-192, Application for Advance
Permission to Enter as Nonimmigrant (Pursuant to Section 212
(d)(3) of the Immigration and Nationality Act). Section 212(d)
(3)(B) provides general authority for waiving many grounds of
inadmissibility for nonimmigrants. These waivers are not
automatic, but may be granted in the exercise of discretion.
Form I-192 should be filed at the time of filing Form I-914.

Form I-914, Supplement A.
If, in addition to the Form I-914, the applicant also files one or
more Forms I-914, Supplement A, Application for Immediate
Family Member of T-1 Recipient, each must be accompanied
by all of the appropriate documentation and evidence, the
appropriate fees, and three photographs of the derivative
applicant. The photographs of the derivative must comply
with the same requirements as the photographs of the principal
applicant, described above. If you are requesting employment
authorization for the derivative applicant, a Form I-765,
Application for Employment Authorization, must also
accompany the Form I-914, Supplement A.
A Form I-914, Supplement A, Application for Immediate
Family Member of T-1 Recipient, may be filed concurrently
with the initial application of the principal applicant, or at any
time thereafter. Any Form I-914, Supplement A, submitted
subsequent to the principal applicant's initial filing, however,
must be accompanied by a new Form I-914 with the
appropriate boxes checked in Part A, and original signature,
with the appropriate fee. Evidence supporting the original
application, however, is not required to be resubmitted with
the new Form I-914. No Form I-914, Supplement A, will be
accepted without a copy of the original Form I-914.

Biometric Services and Interview Appointments.
All applicants between the ages of 14 and 79 years (inclusive)
must be fingerprinted, as part of the USCIS biometric services
requirements, to facilitate a criminal background check. If
necessary, USCIS may also take applicant's photograph and
signature.
In addition, USCIS may require the applicant to appear for a
personal interview. The applicant will be notified of the
proper time and location to appear for fingerprinting and for an
interview, if required.
Failure to appear for a scheduled interview without prior
authorization, or failure to comply with biometric services
(fingerprint processing), may result in a denial of the
application.

Required Documentation for Application.
Evidence.
Form I-914.
An application must be filed with evidence sufficient to
demonstrate that each of the eligibility requirements is satisfied.

Principal Applicant for T
Nonimmigrant (T-1) Status.
To qualify for T-1 nonimmigrant status, an applicant must
demonstrate that he or she:
1. Is physically present in the United States, American
Samoa or the Commonwealth of the Northern Mariana
Islands as a result of trafficking;
2. Is or has been a victim of a severe form of trafficking in
persons;
3. Would suffer extreme hardship involving unusual and
severe harm upon removal; and
4. Has complied with any reasonable request for assistance in
the investigation and prosecution of acts of trafficking in
persons, unless the applicant is less than 18 years old.
To establish that he or she is a victim of a severe form of
trafficking in persons, the applicant must demonstrate that he
or she was brought to the United States either:
1. For the purpose of a commercial sex act, which act was
either induced by force, fraud or coercion, or occurred
when the applicant had not reached 18 years of age, or
2. For the purpose of labor or services induced by force, fraud,
or coercion for the purpose of subjecting the applicant to
involuntary servitude, peonage, debt bondage, or slavery.
An applicant is encouraged to raise all arguments and to
document all elements of his or her claim, including allegations
of extreme hardship, in his or her initial application.

Form I-914, Supplement A.
The Form I-914, Supplement A, must be filed with evidence
sufficient to demonstrate that each of the eligibility
requirements is satisfied.

Qualifications for T Derivative Applicants
for Nonimmigrant Status.
An applicant for T derivative status must be:
1. The spouse or child of the T nonimmigrant principal
applicant or the T nonimmigrant status holder, if the
principal applicant or status holder is over the age of 21;

Form I-914 Instructions (07/30/07)Y Page 2

2. The spouse, child or parent, if the principal applicant or
status holder is under the age of 21 years.
Applicants for derivative status, as family members of an
applicant for T-1 nonimmigrant status, or of a person granted
T-1 nonimmigrant status, must submit credible documentary
evidence of the relationship of the derivative applicant to the
principal applicant. Documents that will be considered for
this purpose are described below. If the principal applicant is
over the age of 21, the derivative applicant must be the spouse
or child of the principal applicant. If the principal applicant is
under the age of 21, the derivative applicant may be the
spouse, child, or parent of the principal applicant. If the
derivative applicant is applying as the child of the principal
applicant, the evidence must also establish that the derivative
applicant is under the age of 21.
In addition, applicants for derivative status must submit
evidence to demonstrate that either the principal or the
derivative applicant will suffer extreme hardship if the
derivative applicant is not permitted to join the principal
applicant. An applicant is encouraged to raise all arguments
and to document all elements of his or her claim, including
allegations of extreme hardship, in his or her initial
application.

Form I-914, Supplement B (Declaration of Law
Enforcement Officer for Victim of Trafficking in
Persons).
The primary evidence of an applicant's claim to be a victim of
trafficking shall be a Form I-914, Supplement B, Declaration
of Law Enforcement Officer for Victim of Trafficking in
Persons. That declaration is appended to this form. An
applicant for T-1 nonimmigrant status need not necessarily file
a Form I-914, Supplement B, to prove the claim. However, the
endorsement of a Federal Law Enforcement Officer on the
Form I-914, Supplement B, constitutes primary evidence that
the applicant is a victim and has complied with any reasonable
request for assistance in the investigation and prosecution.
These elements of the applicant's claim may be difficult to
establish otherwise, and submission of the Form I-914,
Supplement B, is strongly advised. Instructions pertinent to
the Form I-914, Supplement B, follow.
If you do not provide a completed Form I-914, Supplement B,
however, you must submit an explanation, describing your
attempts to obtain the certification and why it does not exist or
is unavailable. If you did not attempt to obtain the
certification, you must explain why you did not.

Secondary Evidence.
If you do not provide a completed Form I-914, Supplement
B, Declaration of Law Enforcement Officer for Victim of
Trafficking in Persons, in addition to the explanation described
above, you must also submit credible secondary evidence to
establish that you are or have been a victim of a severe form of

trafficking in persons and that you complied with any
reasonable request from law enforcement. Such evidence may
include, but is not limited to: police reports, newspaper
articles, witness affidavits, or any other form of evidence.
Even if you do provide a Form I-914, Supplement B, you may
submit additional evidence.
Whether or not you provide a Form I-914, Supplement B, you
must provide a personal narrative statement. That statement
should describe the trafficking crime of which you were a
victim, including:
What were the circumstances of your entry into the United
States;
The purpose for which you were brought to the United
States;

1.
2.
3.

How you were recruited or otherwise became involved in
the trafficking situation;

4. When these events took place;
5. Who was responsible;
6. How long you were detained by the traffickers;
7. How and when you escaped, were rescued, or otherwise
became separated from the traffickers;
8. What you have been doing since you were separated from
the traffickers;
9. Why you were unable to leave the United States after you
were separated from the traffickers;
10. What harm or mistreatment you fear if you are removed
from the United States; and
11. Why you fear you would be harmed or mistreated.
Attach documents to support your claim. The evidence
submitted in support of the application must credibly establish
each element of your claim. If you have in your possession, or
have access to, a document showing how you entered the
United States, you must submit a copy of that document with
your application.

Part 4. Completing Each Application.
Form I-914.
Provide the specific information requested about you and your
family. Answer ALL of the questions asked. If any question
does not apply to you or you do not know the answer, reply
"none," "N/A" (for not applicable), or "unknown," as
appropriate. Provide detailed information. Answer the
questions as completely as possible. You are strongly
encouraged to answer all questions and to attach additional
written statements and documents that support your claim.

Form I-914 Instructions (07/30/07)Y Page 3

Part A. Purpose for Filing the Application.

Part F. Attestation and Release.

As was explained above, this form shall be used both for the
initial application of a victim of trafficking in persons, and to
file subsequently for eligible family members. In this section,
you are asked to describe, by checking one or more boxes,
your purpose in filing this form.

By signing this form, you declare, under penalty of perjury,
that the statements made on the application, and the evidence
submitted with it, are true and correct.

Part B. General Information
About the Applicant.
Provide the requested information about yourself.

Part C. Details Related to
Nonimmigrant Status.
The applicant must answer each question. The principal
applicant must provide evidence to document that he or she:
1.

Is a victim of a severe form of trafficking in persons;

2. Is present in the United States, American Samoa, or the
Commonwealth of the Northern Mariana Islands, or at a
port-of-entry thereto, on account of such trafficking;
3.

Has complied with any reasonable request for assistance in
the investigation or prosecution of acts of trafficking (or is
not yet 15 years old); and

4. Would suffer extreme harship involving unusual and
severe harm upon removal.
The applicant must explain each of those elements of the
claim in detail, and provide evidence of each of those elements
of the claim. The evidence must be attached to the application
when it is submitted. Failure to demonstrate eligibility
credibly will result in denial of the application.

Part D. Processing Information.
Answer each of the questions. If you answer "Yes" to any of
the questions, you must explain your answer on a separate
piece of paper. Label that sheet Form I-914, Part D, reference
the number of the question which requires explanation, and
attach that sheet to your application. Answering "Yes" does
not necessarily mean that your application will be denied.

Part E. Information About
Your Family Members.
Provide the requested information about each of your family
members for whom you now wish to seek immigration
benefits. You may also file for a family member at a later
date, rather than on your initial application. You must file one
Form I-914, Supplement A, Application for Immediate Family
Member of T-1 Recipient, with this application for each family
member for whom you are now applying.

By signing this form, you also agree that USCIS may release
information from the record in order to investigate your claim,
to determine your eligibility to investigate fraudulent claims,
and to assist in the investigation of trafficking in persons and
related crimes. USCIS requires that you sign the attestation
and release so that USCIS may investigate your claim to
eligibility.

Part G. Preparer and/or
Translator Certification.
If anyone assisted you in preparing this form, translated the
questions to you, or translated your responses to the questions,
they must sign this certification, declaring, under penalty of
perjury, that they asisted you, and that, to the best of their
knowledge, the information on the form is truthful.

Form I-914, Supplement A.
Provide the specific information requested about you and your
family. Answer all of the questions asked. If any question
does not apply to you or you do not know the answer, reply
"none," "N/A" (for not applicable), or "unknown," as
appropriate. Provide detailed information. Answer the
questions as completely as possible. You are strongly
encouraged to attach additional written statements and
documents that support your claim.

Part A. Relationship.
State the relationship of the Derivative Applicant family
member to you. You must also include documentation of the
claimed relationship. Documents acceptable for this purpose
are listed below.
If you are filing for your:
1.

Husband or wife: Submit a copy of your marriage
certificate.

2.

Child, and you are the mother: Submit the child's birth
certificate showing your name and the name of your child.

3.

Child, and you are the father or stepparent: Submit the
child's birth certificate, showing both parents' names, and
your marriage certificate. If the child was born out of
wedlock and you are the father, provide proof that a
parent/child relationship exists or existed. For example,
the child's birth certificate showing your name and
evidence that you have financially supported the child. (A
blood test may be necessary.)
Form I-914 Instructions (07/30/07)Y Page 4

4. Mother: Submit your birth certificate showing your name
and the name of your mother.

Part B. Information About Primary Applicant.
Provide the requested information about yourself.

5. Father: Submit your birth certificate showing the names
of both parents, and your parents' marriage certificate.
6. Stepparent: Submit your birth certificate showing the
names of both natural parents, and the marriage certificate
of your parent to your stepparent.
7. Adoptive parent or adopoted child: Submit a certified
copy of the adoption decree, legal custody decree if you
obtained custody before adoption, and a statement
showing the dates and places you have lived together with
the adopted parent or child.
In addition, in any case in which a marriage license is required,
if either the husband or wife was married before, you must
submit documents to show that all previous marriages were
legally ended (for example, a divorce decree or death
certificate). In cases where the names shown on the supporting
documents have changed, provide legal documents to show
how the name change occurred (for example, a marriage
certificate, adoption decree, court order, etc.).
If a required document is unavailable, you may provide the
following secondary evidence. (USCIS may require a
statement from the appropriate civil authority certifying that
the necessary document is unavailable.)
1. Church record: A certificate under the seal of the church
where the baptism, dedication or comparable rite occurred
within two months after birth, showing the date and place
of the child's birth, date of the religious ceremony and the
names of the child's parents.
2. School record: A letter from the authorities of the school
attended (preferably the first school), showing the date of
admission to the school, child's date and place of birth, and
the names and birthplaces of both parents, if shown in the
school records.
3. Census record: State or Federal census record showing
the names, place of birth and date of birth or age of the
person listed.
4. Affidavits: Written statements sworn to or affirmed by
two persons who were living at the time and who have
personal knowledge of the event you are trying to prove;
for example, the date and place of birth, marriage, divorce
or death. The persons making the affidavits need not be
citizens of the United States. Each affidavit should contain
the following information: (1) the relationship, if any, of
the affiant to you; (2) full information concerning the
event; and (3) complete details concerning how the person
acquired knowledge of the event.

Part C. Information About Derivative Applicant.
Provide the requested information about the family member
for whom you are applying. Answer each question fully. If
necessary, attach additional sheets to completely address the
question. Label those sheets "Form I-914, Supplement A, Part
C " and reference the questions that require additional
explanation.

Part D. Processing Information.
Answer each question. If you answer "Yes" to any question,
you must explain your answer on a separate sheet of paper.
Label that sheet Form I-914, Supplement A, Part D, reference
the number of the question that requires additional
explanation, and attach the sheet to the application.
Answering "Yes" does not necessarily mean that benefits will
be denied.

Part E. Attestation and Release.
By signing this application, you declare, under penalty of
perjury, that the statements made on the application and the
evidence submitted with it, are true and correct. The
derivative applicant must also sign, under the penalty of
perjury, if he or she is in the United States.
By signing this application, you also agree that USCIS may
release information from the record in order to investigate
your claim, determine your eligibility, assist in the
investigation and prosecution of trafficking and related crimes,
and investigate and prosecute false claims. USCIS requires
that you sign the attestation and release.

Part F. Preparer and/or Translator Certification.
If anyone assisted you in preparing this application, translated
questions to you or translated your responses to the questions,
that person must sign this certification, declaring under penalty
of perjury that he or she assisted you, and that to the best of his
or her knowledge the information on the application is truthful.

Part G. Application Checklist.
Please verify that you have complied with each item on this
checklist. Be sure that you have complied with all USCIS
requirements pertinent to this form.

Form I-914 Instructions (07/30/07)Y Page 5

Acceptance. Any application that is not signed or is not
accompanied by the correct fee, will be rejected with a notice
that the application is deficient. You may correct the
deficiency and resubmit the application. An application is not
considered properly filed until accepted by USCIS.
Requests for more information or interview. We may
request more information or evidence, or we may request that
you appear at a USCIS office for an interview. We may also
request that you submit the originals of any copy. We will
return these originals when they are no longer required.
In addition, failure to answer any question on the form, or
failure to comply with any other USCIS requirement, may
result in a processing delay or in denial of the application.

Part 5. What Is the Filing Fee?
There is no filing fee for this application.
There is a $80.00 biometrics fee for each applicant older
than 14 years of age.
You may submit a check or money order for the biometric fee.
Use the following guidelines when you prepare your check or
money order for the biometric service fee:
1. The check or money order must be drawn on a bank or
other financial institution located in the United States
and must be payable in U.S. currency; and
2. Make the check or money order payable to U.S.
Department of Homeland Security, unless:
A. If you live in Guam and are filing your petition
there, make it payable to Treasurer, Guam.
B. If you live in the U.S. Virgin Islands and are filing
your petition there, make it payable to
Commissioner of Finance of the Virgin Islands.
C. If you live outside the United States, Guam, or the
U.S. Virgin Islands, contact the nearest U.S.
consulate or embassy for instructions on the
method of payment.
NOTE: Please spell out U.S. Department of Homeland
Security; do not use the initials "USDHS" or "DHS."

How to Check If the Fees Are Correct?
The form and biometric fees on this form are current as of the
edition date appearing in the lower right corner of this page.
However, because USCIS fees change periodically, you can
verify if the fees are correct by following one of the steps
below:
1. Visit our website at www.uscis.gov, select
"Immigration Forms" and check the appropriate fee;
2. Review the Fee Schedule included in your form
package, if you called us to request the form; or
3. Telephone our National Customer Service Center at
1-800-375-5283 and ask for the fee information.
NOTE: If your Form I-914 requires payment of a biometric
service fee for USCIS to take your fingerprints, photograph or
signature, you can use the same procedure to obtain the correct
biometric fee.

Part 6. Where to File?
An applicant for status as a T nonimmigrant shall submit a
complete application package by mail to the:
USCIS Vermont Service Center,
75 Lower Weldon Street
St. Albans, VT 05479-0001.

Part 7. Federal Law Enforcement Declaration
(Form I-914, Supplement B).
Form I-914, Supplement B, is to be completed by Federal Law
Enforcement Officers for victims under the Victims of
Trafficking and Violence Protection Act, Public Law 106-386.
The law enforcement officer must complete the form based
upon his or her knowledge of the case, including evidence
developed by other law enforcement officers investigating the
case.
In order to be granted immigration benefits, the applicant must
demonstrate that he or she is present in the United States as a
result of being a victim of a severe form of trafficking in
persons. Unless the applicant is less than 18 years of age, the
applicant must also show that he or she is cooperating with
law enforcement in the investigation and prosecution of the
trafficking crime of which he or she was a victim. These
elements may be established without submitting a Form I-914,
Supplement B, but submission of the Supplement B, is
strongly advised.
Form I-914 Instructions (07/30/07)Y Page 6

The Form I-914 applicant may detach Form I-914, Supplement
B, and submit it to a Federal law enforcement officer familiar
with the case in which he or she was a victim of a severe form
of trafficking in persons. After the officer has completed the
form, it should be submitted with your application package.

Part 8. Other Information.
Confidentiality.
Information provided in the application package is
confidential. It will be used to determine eligibility, to
investigate the fraudulent claims, to enforce penalties for false
statements, to assist in the investigation and prosecution of
trafficking and related crimes, but for no other purpose. The
information provided is subject to verification by USCIS.
However, USCIS will release the information only as
necessary to the stated purposes.

Penalties for Perjury.
All statements contained in response to questions in this
application are declared to be true and correct under penalty of
perjury. Title 18, United States Code, Section 1546, provides
in part:
. . . Whoever knowingly makes under oath, or as permitted
under penalty of perjury under 1746 of Title 28, United
States Code, knowingly subscribes as true, any false
statement with respect to a material fact in any application,
affidavit, or other document required by the immigration
laws or regulations prescribed thereunder, or knowingly
presents any such application, affidavit, or other document
containing any such false statement shall be fined in
accordance with this title or imprisoned not more than five
years, or both.
Kowingly providing false information on this application may
subject you and/or the preparer of this application to criminal
penalties under Title 18 of the United States Code. Knowingly
providing false information on this application may also
subject you and/or the preparer to civil penalties under Section
274C of the Immigration and Nationality Act (INA), 8 U.S.C.
1324c. Under 8 U.S.C. 1324c, a person subject to a final order
for civil document fraud is deportable from the United States
and may be subject to fines.

Failure to provide all information as requested may result in
the denial or rejection of this application. The information you
provide may also be disclosed to other federal, state, local and
foreign law enforcement and regulatory agencies during the
course of USCIS investigations.

USCIS Forms and Information.
To order USCIS forms, call our toll-free number at
1-800-870-3676. You can also get USCIS forms and
information on immigration laws, regulations and procedures
by telephoning our National Customer Service Center at
1-800-375-5283 or visiting our internet website at www.uscis.
gov.
As an altenative to waiting in line for assistance at your local
USCIS office, you can now schedule an appointment through
our internet-based system, InfoPass. To access the system,
visit our website. Use the InfoPass appointment scheduler and
follow the screen prompts to set up your appointment.
InfoPass generates an electronic appointment notice that
appears on the screen.

Paperwork Reduction Act.
An agency may not conduct or sponsor an information
collection and a person is not required to respond to a
collection of information unless it displays a currently valid
OMB control number. The public reporting burden for this
collection of information is estimated at 3 hours and 25
minutes per response, including the time for reviewing
instructions, completing and submitting the form. Send
comments regarding this burden estimate or any other aspect
of this collection of information, including suggestions for
reducing this burden, to: U.S. Citizenship and Immigration
Services, Regulatory Management Division, 111
Massachusetts Avenue, N.W., 3rd Floor, Suite 3008,
Washington, DC 20529. OMB No. 1615-0099. Do not mail
your application to this address.

Authority for Collecting This Information.
The authority to require you to file Form I-914, Application
for T Nonimmigrant Status, when applying for employment
authorization is found in Public Law 106-386, Victims of
Trafficking and Violence Protection Act. Information you
provide on your Form I-914 is used to investigate the veracity
of your claim.The information may form the basis for granting
the benefit sought, or may form the basis for an investigation
of a fraudulent claim. The information may also be provided
to law enforcement agencies or prosecutors investigating or
prosecuting crimes of trafficking or related crimes.
Form I-914 Instructions (07/30/07)Y Page 7


File Typeapplication/pdf
File Modified2007-07-10
File Created2007-07-10

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