This collection
is approved for only two years due to partial GPEA noncompliance.
This form can be completed but not submitted electronically.
Inventory as of this Action
Requested
Previously Approved
07/31/2012
36 Months From Approved
08/31/2010
48,000
0
48,000
108,000
0
108,000
960,000
0
2,880,000
This petition permits victims of
certain qualifying criminal activity and their immediate family
members to apply for temporary nonimmigrant classification. This
nonimmigrant classification provides temporary immigration
benefits, potentially leading to permanent resident status, to
certain victims of criminal activity who: suffered substantial
mental or physical abuse as a result of having been a victim of
criminal activity; have information regarding the criminal
activity; and assist government officials in investigating and
prosecuting such criminal activity.
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.