Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement)

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

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Form I-914B Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement) Form
9. I914 Supplement B-INS-TRule-OGC Review 06182013 (1).pdf Instruction
I-914B Declaration of Law Enforcement Officer for Victim of tra 7. I914 Supplement B-FRM-TRule-OGC Review 06172013.pdf Form

Information Collection (IC) Details

IC Title:	Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement)	Agency IC Tracking Number:	I-914B

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	I-914B	Declaration of Law Enforcement Officer for Victim of trafficking in Persons (Contact by Respondent to Law Enforcement)	7. I914 Supplement B-FRM-TRule-OGC Review 06172013.pdf		Yes	No	Fillable Printable
Instruction			9. I914 Supplement B-INS-TRule-OGC Review 06182013 (1).pdf		Yes	No	Printable Only

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: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	200	200
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.