Information Collection

Application for Family Member of T-1 Recipient

IC 211476 under ICR 201411-1615-012 · OMB 1615-0099.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1615-0099 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form I-914A Application for Family Member of T-1 Recipient	Form
I-914A Application for Family Member of T-1 Recipient 5. I914 Supplement A-FRM-TRule-OGC Review 06182013.pdf	Form

IC Title:

Application for Family Member of T-1 Recipient

Agency IC Tracking Number:

I-914A

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-914A	Application for Family Member of T-1 Recipient	5. I914 Supplement A-FRM-TRule-OGC Review 06182013.pdf		Yes	No	Fillable Printable

Line of Business: Homeland Security

Subfunction: Border and Transportation Security

Privacy Act System of Records

Title: USCIS Benefits Information System

FR Citation: 73 FR 56596

Number of Respondents: 795

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	795	295	500
Annual IC Time Burden (Hours)	795	295	500
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.